Bentall and Bono Surgery, Placement of Endoprosthesis in the Descending Aorta with Exlcusion of the Left Subclavian Artery and Hybrid Management of Supra-Aortic Trunks with Type I Debranching as Surgical Treatment in Aortic Dissection Stanford A/ DeBakey IA: Case Report | ||
Journal of Cardio-Thoracic Medicine | ||
مقاله 4، دوره 13، شماره 1، خرداد 2025، صفحه 1485-1489 اصل مقاله (1.6 M) | ||
نوع مقاله: Case Report | ||
شناسه دیجیتال (DOI): 10.22038/jctm.2024.77569.1445 | ||
نویسندگان | ||
Jorge Eduardo EDU Rodríguez-Delgado* ؛ Cristhoper Jesús López-Hernández؛ José Luis Aceves-Chimal؛ Adrián Romero-Pérez؛ Athenea Nieves-Arellano؛ Guillermo Díaz-Quiroz | ||
Department of Cardiac Surgery, National Medical Center ¨20 de Noviembre¨ ISSSTE, Mexico City, Mexico. | ||
چکیده | ||
Introduction: Bentall and Bono surgery is the procedure used in cases of aortic dissection type A of Sanford/DeBakey classification. It involves replacing the aortic root and aortic valve, placing a stent in the descending aorta, excluding the left subclavian artery, and performing hybrid management of the supra-aortic trunks with type I debranching to repair the aortic dissection and restore adequate blood flow to the aorta and the arteries that supply blood to the brain and neck. Case Report: A 49-year-old male with a history of multivalvular cardiopathy presented with NYHA functional class I impairment. A transthoracic echocardiogram reported moderate aortic and mitral insufficiency, reduced left ventricular ejection fraction, and a thoracic aortic dissection. It was decided to perform a Bentall and Bono surgery. Discussion: The hybrid management of supra-aortic trunks with type I debranching involve revascularization of the carotid and subclavian arteries using a technique that combines open surgery and endoprosthesis placement. Conclusion: These procedures, although complex, allow surgeons to address both the ascending and descending aorta, preserving blood perfusion to the supra-aortic arteries and avoiding complications such as aortic rupture and heart failure. | ||
کلیدواژهها | ||
Aorta؛ Debranching؛ Dissection؛ Endoprosthesis؛ Hybrid | ||
مراجع | ||
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