We describe a case of acute type B dissection associated with coarctation of the aorta. An intimal tear was located just distal to the coarctation. Aortic dilatation started below the coarctation and extended to the level of the diaphragm. We performed descending aorta replacement from the distal aortic arch to the level of the 9th intercostal arteries, and implanted a stent-graft elephant trunk through a left posterior lateral thoracotomy in the 5th intercostal space off-pump.
YamaguchiAAdachiHKamioHMurataSOkadaMAdachiK. A combination of preductal aortic coarctation and type B dissection: report of a case. Surg Today1998; 28: 435–437.
2.
MilanoADe CarloMGigoniRBortolottiU. Acute type-B aortic dissection in association with isthmic coarctation. Tex Heart Inst J2001; 28: 152–153.
3.
BhanAAgarwalSSharmaRVenugopalP. Juxtaductal coarctation with type B dissection of the aorta: a new operative technique. J Thorac Cardiovasc Surg2002; 123: 365–367.
4.
ShinJSSunKShimWJKimKTKimHM. Acute descending aortic dissection associated with coarctation in adult. Asian Cardiovasc Thorac Ann2002; 10: 354–355.
5.
SunLZQiRDChangQZhuJMLiuYMYuCT. Is total arch replacement combined with stented elephant trunk implantation justified for patients with chronic Stanford type A aortic dissection?J Thorac Cardiovasc Surg2009; 138: 892–896.
