CC BY 4.0 · Aorta (Stamford) 2021; 09(06): 221-223
DOI: 10.1055/s-0041-1732400
Case Report

Chronic Type A Aortic Dissection Repair in a Double Lung Transplant Recipient

Neeraj Kamat
1   Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Wythenshawe Hospital, Manchester, United Kingdom
,
Ragheb Traify
1   Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Wythenshawe Hospital, Manchester, United Kingdom
,
Brian Williams
1   Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Wythenshawe Hospital, Manchester, United Kingdom
,
1   Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Wythenshawe Hospital, Manchester, United Kingdom
2   Division of Cardiovascular Sciences, University of Manchester, Manchester, United Kingdom
› Author Affiliations
Funding None.

Abstract

A 69-year-old man presented with a chronic Stanford Type A aortic dissection (CTAAD). The patient had undergone bilateral sequential lung transplantation 15 years prior for α-1-antitrypsin deficiency. We describe the management of CTAAD in the context of lung transplantation from the surgical and anesthetic perspectives.



Publication History

Received: 01 July 2020

Accepted: 21 March 2021

Article published online:
28 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Kim WK, Park SJ, Kim HJ, Kim HJ, Choo SJ, Kim JB. The fate of unrepaired chronic type A aortic dissection. J Thorac Cardiovasc Surg 2019; 158 (04) 996-1004.e3 , e3
  • 2 Banack T, Ziganshin BA, Barash P, Elefteriades JA. Aortic valve replacement for critical aortic stenosis after bilateral lung transplantation. Ann Thorac Surg 2013; 96 (04) 1475-1478
  • 3 Hermsen JL, Madathil R, Berfield KS, Li K, Smith JW, Mulligan MS. Successful repair of acute Type A aortic dissection 15 years following bilateral lung transplantation. J Card Surg 2016; 31 (01) 72-73
  • 4 Fleck T, Ehrlich M, Czerny M, Wolner E, Grabenwoger M, Grimm M. Intraoperative iatrogenic type A aortic dissection and perioperative outcome. Interact Cardiovasc Thorac Surg 2006; 5 (01) 11-14
  • 5 Orabi NA, Quint LE, Watcharotone K, Nan B, Williams DM, Kim KM. Distinguishing acute from chronic aortic dissections using CT imaging features. Int J Cardiovasc Imaging 2018; 34 (11) 1831-1840
  • 6 Gatate Y, Masaki N, Sato A. et al. Tranexamic acid controlled chronic disseminated intravascular coagulation associated with aortic dissection and patent false lumen for three years. Intern Med 2017; 56 (08) 925-929
  • 7 Schachner T, Golderer G, Sarg B. et al. The amounts of alpha 1 antitrypsin protein are reduced in the vascular wall of the acutely dissected human ascending aorta. Eur J Cardiothorac Surg 2010; 37 (03) 684-690
  • 8 Cron DC, Coleman DM, Sheetz KH, Englesbe MJ, Waits SA. Aneurysms in abdominal organ transplant recipients. J Vasc Surg 2014; 59 (03) 594-598