• J Coll Physicians Surg Pak · Jan 2023

    Case Reports

    Type B Aortic Dissection Converted into Type A Aortic Dissection.

    • Wardah Saleem, Furqan Ahmed Raheel, and Fayaz Iqbal.
    • Department of Cardiac Surgery, National Institute of Cardiovascular Diseases, Karachi, Pakistan.
    • J Coll Physicians Surg Pak. 2023 Jan 1; 33 (1): 232523-25.

    AbstractA young patient presented to the emergency room (ER) with Type B aortic dissection and ascending aorta aneurysm. He was planned for medical optimization, close surveillance, echocardiography, and ascending aorta replacement on an urgent basis. His surveillance echocardiogram 2 days later revealed that Type B aortic dissection has converted into Type A aortic dissection. Therefore, Emergency Type A aortic dissection repair with Aortic root and ascending aorta replacement was planned. The pericardial cavity was full of blood as the aneurysm had ruptured. Partial circulatory arrest along with an antegrade cerebral perfusion was maintained for distal anastomosis. A 25-sized SJ aortic valve- conduit was used for root replacement. The patient did very well and got discharged from the hospital on the sixth postoperative day. Key Words: Type A aortic dissection, Aortic root and ascending aorta aneurysm, Type B aortic dissection.

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