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Case Reports
. 2024 Jan 3;2(2):216-219.
doi: 10.1016/j.atssr.2023.12.006. eCollection 2024 Jun.

Intraoperative Type B Aortic Dissection With Malperfusion in a Patient With Marfan Syndrome

Joseph M Obeid  1 , Michael Sacca  2 , Yocheved Strum  3 , Jennifer Regan  4 , Christopher La Mendola  4 , Newell Robinson  4 , Eddy Barasch  5   6 , Timothy I Carter  4
Affiliations
Case Reports

Intraoperative Type B Aortic Dissection With Malperfusion in a Patient With Marfan Syndrome

Joseph M Obeid et al. Ann Thorac Surg Short Rep. .

Abstract

We present the case of a 72-year-old man diagnosed with an aortic root aneurysm who was then diagnosed with Marfan syndrome. The patient suffered an intraoperative type B dissection with lower extremity malperfusion managed with an axillary-bifemoral extra-anatomic bypass.

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Figures

Figure 1
Figure 1
Transesophageal echocardiography depicting type B aortic dissection (A) after root replacement, (B) after administration of protamine with thrombus formation and true lumen (TL) compression, and (C) after axillary femoral bypass, identifying true lumen expansion.
Figure 2
Figure 2
Computed tomography angiography depicting stages of remodeling: axial views (A) on postoperative day 1, (B) on day 4, and (C) at 6 months; and coronal views (D) on day 1, (E) on day 4, and (F) at 6 months.
See this image and copyright information in PMC

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