Intraoperative Type B Aortic Dissection During Total Arch Replacement

Yojiro Machii, Naohiro Shimada, Fumihiro Kitashima, Masashi Tanaka

Research output: Contribution to journalArticlepeer-review


Background: Intraoperative aortic dissection is an extremely serious complication that should be prevented whenever possible. When it does occur, it requires urgent clinical management. Case presentation: We report the case of a 78-year-old man with Marfan syndrome who developed an intraoperative complicated type B aortic dissection with a distal anastomosis entry site during total arch replacement for a chronic dissection. Conclusion: Performing immediate thoracic endovascular aortic repair, we were able to improve malperfusion to the lower extremities that occurred during total arch replacement.

Original languageEnglish
Pages (from-to)E111-E113
JournalHeart Surgery Forum
Issue number1
Publication statusPublished - 2023
Externally publishedYes


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