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.
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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