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IMAGES IN CLINICAL PRACTICE
Year : 2016  |  Volume : 2  |  Issue : 3  |  Page : 158-159

Concomitant bentall-de bono procedure plus total arch replacement and coronary artery bypass grafting in acute aortic dissection


1 Department of Cardiothoracic and Vascular Surgery, G. B. Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
2 Department of Anesthesiology, G. B. Pant Institute of Postgraduate Medical Education and Research, New Delhi, India

Correspondence Address:
Dr. Nayem Raja
Department of Cardiothoracic and Vascular Surgery, G. B. Pant Institute of Postgraduate Medical Education and Research, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2394-7438.191689

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We report the images of a case of a 31-year-old male presented with acute Type A aortic dissection with severe aortic regurgitation involving the arch vessels. He was taken up for surgery on cardiopulmonary bypass (femoro-axillary-bicaval). Bentall-De Bono procedure with mechanical aortic valved conduit and total arch replacement with woven polyester branched graft under hypothermic circulatory arrest plus selective antegrade cerebral perfusion was performed. Reversed saphenous venous graft to proximal right coronary artery grafting was also performed.


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