Direct Reimplantation of a Transected Coronary Artery in Acute Type A Aortic Dissection

Song K, Jang WS, Park N, Kim YS and Kim JB

Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Hospital, Keimyung University
College of Medicine, Republic of Korea

^*Correspondance to: Woo Sung Jang 

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Abstract:

A 52-year-old male patient was admitted for acute type A aortic dissection. Circumferential detachment of the Right Coronary Artery (RCA) ostium was detected intraoperatively. The proximal RCA was dissected, the intimal RCA was circumferentially detached with inner intussusception, and only adventitia was partially connected to the aortic root. Instead of performing coronary artery bypass grafting surgery to the RCA, direct RCA implantation to the Valsalva ascending graft was performed after repairing the dissected lumen of the proximal RCA. Cardiopulmonary bypass weaning was smooth, and no complications related to the RCA were observed.

Keywords:

Aorta; Aortic dissection; Acute aortic syndrome

Cite the Article:

Song K, Jang WS, Park N, Kim YS, Kim JB. Direct Reimplantation of a Transected Coronary Artery in Acute Type A Aortic Dissection. Clin Case Rep Int. 2023; 7: 1488.