COMPLEX HEART SURGERY

REPAIR OF AORTIC ROOT DISSECTION WITH HEMIARCH REPLACEMENT DONE UNDER CIRCULATORY ARREST

A young man in his early thirties was referred to Babcock Tristate heart and vascular center from a facility in Lagos where he had been on admission at the facility for 3 days before being diagnosed with life-threatening ascending aortic dissection known as Stanford type A aortic dissection.

Our evaluation at Tristate showed an aortic root aneurysm measuring 6.6cm (upper limit of normal 4cm) with dissection ( crack in a vessel with a false lumen) going to his legs

He had temporarily lost the function of his left leg.

The patient had a surgical procedure done at Babcock Tristate heart center called repair of aortic root dissection with hemiarch replacement done under circulatory arrest.

He also had a modified Bentall procedure with coronary reimplantation to replace the aortic root aneurysm.

The patient was taken post-operation to intensive care where he had a speedy recovery coming off the life support ventilator within 4 hours.

He continues to improve and will be ready soon for discharge.