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Updated: May 26, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
[Aortic root rupture during an operation in a patient with acute aortic dissection]
Soki Kurumisawa1, Arata Muraoka, Kei Aizawa
1Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|December 23, 2011
Summary
This case report details managing acute aortic dissection with cardiac tamponade. A sudden aortic root rupture during surgery was successfully managed with selective cerebral perfusion, leading to a good patient outcome.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Emergency Medicine
Background:
- Acute aortic dissection (DeBakey type II) with cardiac tamponade presents a critical surgical emergency.
- Hypothermia is a common strategy during complex aortic surgeries.
Observation:
- A 73-year-old female experienced aortic root rupture during core cooling for acute aortic dissection and cardiac tamponade.
- Pupillary dilation indicated potential cerebral malperfusion following the rupture.
Findings:
- Arterial cannulation was redirected to the dissecting ascending aorta, and the aorta was cross-clamped.
- Selective cerebral perfusion was initiated within 30 minutes of aortic root rupture.
- Aortic root and ascending aorta replacement was successfully performed.
Implications:
- Rapid adaptation of cannulation strategy and initiation of selective cerebral perfusion can mitigate neurological injury during aortic emergencies.
- This case highlights the successful management of a catastrophic intraoperative complication during complex aortic dissection repair.
- Effective management of aortic dissection with tamponade and intraoperative rupture is achievable, leading to good patient outcomes.
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