ArticleCureus2023
Partial Arch Replacement Using Common Trunk Perfusion in Type A Acute Aortic Dissection.
Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
An 80-year-old woman was referred to our hospital following a syncope. Contrast-enhanced computed tomography revealed an acute type A aortic dissection with a bovine aortic arch and an enlarged innominate artery. The dissection affected only the ascending aorta and not the common trunk, which is composed of the innominate and left common carotid arteries. Cardiopulmonary bypass was established using common trunk perfusion and vena cava drainage. Following a thorough evaluation, a surgical intervention involving the replacement of the ascending aorta and partial arch, accompanied by the excision of the dilated innominate artery, was meticulously carried out. In instances where the common trunk remains unaffected by the dissection, it presents as a viable alternative perfusion site. Therefore, opting for an approach involving the resection of the common trunk followed by the separate reconstruction of the innominate and left common carotid arteries during the replacement of the ascending aorta and partial arch may serve as a preventative measure against potential vascular events in the future.
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