Key result
Superficial femoral artery grafts for left main reconstruction show good 2-year patency in acute aortic dissection.
Why the study?
Does superficial femoral artery graft interposition provide durable patency for left main trunk reconstruction during acute aortic dissection surgery?
Case Report (n=1)
No
Does superficial femoral artery graft interposition provide durable patency for left main trunk reconstruction during acute aortic dissection surgery?
The superficial femoral artery can be successfully used as an interposition graft for anatomical reconstruction of the left main trunk during surgery for acute aortic dissection, demonstrating good mid-term patency.
Supports feasibility of superficial femoral artery graft for left main reconstruction in acute aortic dissection; leaves open need for confirmatory studies.
A 76-year-old woman underwent a Bentall procedure for acute aortic dissection. A dissection involving half of the proximal portion of the left main coronary artery trunk was confirmed. The dissected site was resected, and a section of the superficial femoral artery was harvested and used as an interposition graft between conduit and the residual left main trunk. Two years after surgery, the graft remained well patent. If the coronary dissection involves only the left main artery trunk, the superficial femoral artery should be used as an artery graft for the anatomical reconstruction, potentially leading to better early and late outcomes.
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Yasuda et al. (2011) conducted a case report in Type A Acute Aortic Dissection (n=1). LMT reconstruction using superficial femoral artery graft was evaluated on Graft patency. Reconstruction of the left main trunk using a superficial femoral artery graft during surgery for acute aortic dissection resulted in good graft patency at 2 years postoperatively.
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