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Aortic Arch Endarterectomy Associated with On-Pump Cardiac Surgery in Patients with a Mobile Arch Atheroma / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 112-115, 2019.
Article in English | WPRIM | ID: wpr-761836
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.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Aorta / Aorta, Thoracic / Thoracic Surgery / Echocardiography / Stroke / Diagnosis / Embolism / Endarterectomy / Atherosclerosis / Circulatory Arrest, Deep Hypothermia Induced Type of study: Diagnostic study Limits: Humans Language: English Journal: The Korean Journal of Thoracic and Cardiovascular Surgery Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Aorta / Aorta, Thoracic / Thoracic Surgery / Echocardiography / Stroke / Diagnosis / Embolism / Endarterectomy / Atherosclerosis / Circulatory Arrest, Deep Hypothermia Induced Type of study: Diagnostic study Limits: Humans Language: English Journal: The Korean Journal of Thoracic and Cardiovascular Surgery Year: 2019 Type: Article