PMC5290308_01
Stanford type A DeBakey type II aortic dissection showing enlarged ascending aorta with an approximate diameter of 4.5 cm and dark reddish in color along its length. Extent of the aortic dissection reaches nearly 7 cm high.
fsurg-04-00002-g002.jpg
PMC5290308_01_fsurg-04-00002-g002.jpg
F2
The ascending aorta was enlarged with an approximate diameter of 4.5 cm and dark reddish in color along its length (Figure 2).
(A) Section of the dissected ascending aorta showing the intramural hematoma that was found behind the brachiocephalic trunk. (B) Section of the dissected ascending aorta revealing calcified left coronary cusp of the aortic valve and dissection entry, measuring around 5 mm, which was situated at the intima of the anterior wall of the ascending aorta, near the sinotubular junction.
fsurg-04-00002-g003.jpg
PMC5290308_01_fsurg-04-00002-g003.jpg
F3
It was opened after hypothermic circulatory arrest induction at 22 C, revealing calcified left coronary cusp of the aortic valve (Figures 3A,B).
(A) Supracoronary aortic tube graft 28 mm, 7 cm in length, placed directly at the sinotubular junction. (B) Saphenous vein graft taken from the left lower extremity placed between the grafted ascending aorta and the LCX.
fsurg-04-00002-g004.jpg
PMC5290308_01_fsurg-04-00002-g004.jpg
F4
After that, 7 cm length supracoronary aortic tube graft 28 mm (InterVascular Inc., LaCiotat, France) was placed directly at the sinotubular junction (Figure 4A). Saphenous vein graft from the left lower extremity was also placed between the grafted ascending aorta and the LCX (Figure 4B).