Delayed repair of aortic dissection in sickle cell anaemia as a combined cardiac and vascular surgical approach

Massimo Capoccia, Maziar Mireskandari, Nicholas J. Cheshire, Ulrich P. Rosendahl

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Abstract

We discuss a patient who presented with a type B aortic dissection with a retrograde progression in the context of sickle cell anaemia. Given the involvement of the superior mesenteric artery and concern for bowel ischaemia, a delayed approach was considered. Subsequently, a frozen elephant trunk was performed in the hybrid theatre with the back-up of the vascular surgeon for mesenteric protection. A technically demanding procedure followed by a prolonged and challenging postoperative course finally led to a successful outcome. We argue that the case presented is an example of how a close cooperation between professionals can offer additional options to treatment based on a mixture of skills and background to achieve the desired outcome.
Original languageEnglish
Pages (from-to)208-212
Number of pages5
JournalJournal of the Saudi Heart Association
Volume32
Issue number2
DOIs
Publication statusPublished - 20 May 2020

Keywords

  • aortic aneurysm
  • aortic dissection
  • frozen elephant trunk
  • cardiac surgeons
  • vascular surgeons

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