sup] In addition to critical preoperative hemodynamic status and organ malperfusion, the fragility of the aortic tissue in AAAD makes suturing of the vascular prosthesis to the aorta difficult and may result in bleeding from anastomosis site and prolonged pumping time, which may complicate with coagulopathy and needs a massive blood transfusion.
A retrospective review of patient records and imaging studies was conducted in 64 patients with AAAD undergoing open surgery at our institution from September 2010 to November 2014.
Surgery for AAAD was performed through sternotomy in both groups of patients, and the operation was done with the utilization of cardiopulmonary bypass (CPB).
The patient was a 72-year-old male who presented to our emergency room with AAAD with right ventricular failure and complete AV block before the operation.
AAAD is a life-threatening aortic emergency, with an incidence estimated to be 2.
These results demonstrated the efficacy of VRC in operation for AAAD, and VRC is satisfactory and even better than conventional suture technique in certain aspects.
Although an emergent operation for AAAD is a life-saving procedure, patients who survive after an emergent operation still have a risk of late aortic complication.