Aortic Arch Endarterectomy Associated with On-Pump Cardiac Surgery in Patients with a Mobile Arch Atheroma
10.5090/kjtcs.2019.52.2.112
- Author:
Joon Young SONG
1
;
Jong Bum CHOI
;
Jong Hun KIM
;
Kyung Hwa KIM
;
Tae Yun KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, Jeonju, Korea. uadocjon1314@hanmail.net
- Publication Type:Case Report
- Keywords:
Aorta;
Atherosclerosis;
Embolism;
Endarterectomy;
Circulatory arrest
- MeSH:
Aorta;
Aorta, Thoracic;
Atherosclerosis;
Circulatory Arrest, Deep Hypothermia Induced;
Diagnosis;
Echocardiography;
Embolism;
Endarterectomy;
Humans;
Plaque, Atherosclerotic;
Stroke;
Thoracic Surgery
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2019;52(2):112-115
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe aortic arch endarterectomy performed concomitantly with on-pump cardiac surgery in 2 patients with grade V arch atherosclerosis. In both patients, transesophageal echocardiographic findings led to the diagnosis of severe arch atherosclerosis associated with a mobile atheromatous plaque in the aortic arch. The severe arch atherosclerosis was managed with endarterectomy under deep hypothermic circulatory arrest. In patients with severe grade V atherosclerosis in the aortic arch, performing endarterectomy simultaneously with primary cardiac surgery may be justified as a way to reduce the risk of peripheral embolism, including cerebrovascular accidents, with minimal additional surgical risk.
