Abstract
Case description This is a case of acute aortic dissection with multiple tears, occluding innominate artery and causing brain and right hand malperfusion. Patient underwent successful emergent surgery in deep hypothermic circulatory arrest with antegrade cerebral protection for complete replacement of innominate artery and hemiarch. Complete innominate artery was replaced during cooling period on 22°C.
Highlights
Surgery for acute aortic dissection is always challenging, especially in the case of cerebral malperfusion
Whether to perform only aortic repair or to reconstruct arch vessels if there flow is severely impaired by disease process
Case description This is a case of acute aortic dissection with multiple tears, occluding innominate artery and causing brain and right hand malperfusion
Summary
Surgery for acute aortic dissection is always challenging, especially in the case of cerebral malperfusion. Innominate artery reconstruction during emergent surgery for acute aortic dissection S Mićović*, D Nežić, P Vuković, P Milojević, B Đukanović
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