Eur J Cardiothorac Surg 2002;22:627
© 2002 Elsevier Science NL
Images in cardio-thoracic surgery |
Recovery of malperfused kidney following repair of type-A dissection
Harald Brandes*,
Johannes M. Albes,
Thorsten Wahlers
Department of Cardiothoracic and Vascular Surgery, University Hospital Jena, Jena, Germany
Received 23 April 2002;
accepted 4 June 2002.
* Corresponding author. Tel.: +49-3641-934801; fax: +49-3641-934802
e-mail: johannes.albes{at}med.uni-jena.de
Key Words: Acute type A dissection • Malperfusion • Composite graft
Evidence for spontaneous recovery of malperfused organs in type A dissection following surgical reconstruction of antegrade flow is rare. A 40-year-old patient underwent composite replacement for acute type A dissection. Preoperative computed tomography (CT) showed a malperfused right kidney (Fig. 1)
. Postoperatively, a subsequent CT exhibited a spontaneous recovery of the right renal perfusion (Fig. 2)
.
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Fig. 1. Preoperative contrast-enhanced CT of the abdomen showing an aortic dissection and malperfused right kidney because of compromised right renal artery originating from a small remaining true lumen.
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Fig. 2. Postoperative contrast-enhanced CT of the abdomen exhibiting an aortic dissection with larger true lumen and normal perfusion of the right kidney.
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