Korean J Thorac Cardiovasc Surg.
2019 Apr;52(2):112-115. 10.5090/kjtcs.2019.52.2.112.
Aortic Arch Endarterectomy Associated with On-Pump Cardiac Surgery in Patients with a Mobile Arch Atheroma
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, Jeonju, Korea. uadocjon1314@hanmail.net
- 2Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
- KMID: 2447612
- DOI: http://doi.org/10.5090/kjtcs.2019.52.2.112
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.
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