Key result
A 62-year-old woman developed iatrogenic acute Type A aortic dissection with bilateral acute ischemia of both lower limbs following an elective Tirone David valve sparing aortic root replacement.
Case Report (n=1)
Highlights a severe complication of iatrogenic acute Type A aortic dissection following elective valve-sparing aortic root replacement.
Acute limb ischemia after Tirone David repair warrants immediate vascular imaging; this single case leaves open the incidence and prevention of malperfusion.
We report a 62-year-old woman who was scheduled for an elective Tirone David valve sparing aortic root replacement under cardiopulmonary bypass. Within the next few hours, the patient developed bilateral acute ischemia of both lower limbs. A thoracic and abdominopelvic computed tomography scan showed acute Type A aortic dissection with a perforation at the brachiocephalic arterial trunk and a complete malperfusion of the inferior mesenteric and iliac arteries.
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Huette et al. (2020) conducted a case report in Iatrogenic acute Type A aortic dissection (n=1). Tirone David valve sparing aortic root replacement under cardiopulmonary bypass was evaluated on Iatrogenic acute Type A aortic dissection. A 62-year-old woman developed iatrogenic acute Type A aortic dissection with bilateral acute ischemia of both lower limbs following an elective Tirone David valve sparing aortic root replacement.
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