Delayed repair of aortic dissection in sickle cell anaemia as a combined cardiac and vascular surgical approach

Capoccia, Massimo and Mireskandari, Maziar and Cheshire, Nicholas J. and Rosendahl, Ulrich P. (2020) Delayed repair of aortic dissection in sickle cell anaemia as a combined cardiac and vascular surgical approach. Journal of the Saudi Heart Association, 32 (2). pp. 208-212. (https://doi.org/10.37616/2212-5043.1043)

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Abstract

We discuss a patient who presented with a type B aortic dissection with a retrograde progression in the context of sickle cell anaemia. Given the involvement of the superior mesenteric artery and concern for bowel ischaemia, a delayed approach was considered. Subsequently, a frozen elephant trunk was performed in the hybrid theatre with the back-up of the vascular surgeon for mesenteric protection. A technically demanding procedure followed by a prolonged and challenging postoperative course finally led to a successful outcome. We argue that the case presented is an example of how a close cooperation between professionals can offer additional options to treatment based on a mixture of skills and background to achieve the desired outcome.

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