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All Journal Sari Pediatri Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Jurnal Respirasi (JR) JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Majalah Biomorfologi (Biomorphology Journal) Heart Science Journal CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Indian Journal of Forensic Medicine & Toxicology JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Journal of Indonesia Vascular Access Jurnal Widya Medika Folia Medica Indonesiana
Sembiring, Yan Efrata
Department Of Cardiothoracic And Vascular Surgery, Faculty Of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital, Surabaya
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Journal : Heart Science Journal

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Navigating Complex Cardiovascular Pathologies: A Case Report on Aortic Arch Replacement in a Middle-Aged Male with Stanford A DeBakey I Aortic Dissection Handari, Saskia Dyah; Firdaus, Muhammad; Sembiring, Yan Efrata
Heart Science Journal Vol. 5 No. 2 (2024): Challenges in the Management of Congenital Heart and Structural Heart Diseases
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub/hsj.2024.005.02.14

Abstract

Background: Aorta dissection is characterized by the presence of an intimal tear, which permits the passage of blood through the tear and into the aorta media. This process leads to the separation of the intimal and the formation of a dissection flap, representing the true lumen and a newly formed false lumens. The incidence of aortic dissection varies between 0.2% and 0.8%. Management of acute aortic standford A aortic dissection primarily involves invasive surgical procedures.Case presentation: A middle-aged male patient, aged 40, who possesses risk factors including uncontrolled hypertension and obesity, arrived to the emergency room with symptoms of chest pain. He described the pain as tearing in nature and said that it radiated towards the abdominal. The examination findings included a blood pressure reading of 255/143, a widened mediastinum and cardiomegaly observed on the chest X-ray, a slight elevation in Hs-Troponin levels, and the presence of sinus rhythm with left ventricular hypertrophy. He underwent CT scan, which demonstrated the presence of an aortic dissection extending from the ascending to descending aorta, with no associated damage to the aortic valve from echocardiography. He was diagnosed with Standford A DeBakey I Aortic dissection and underwent preference replacement of the aortic arch and elephant trunk implantation instead of Bentall procedure.Conclusion: The surgical and perioperative methods employed may differ based on the specific clinical presentation and the nature of the aortic disease. Because there was no involvement of the aortic valve, we performed total aortic arch replacement and elephant trunk procedure over the Bentall procedure.
Co-Authors Abed Nego Okthara Sebayang Adhitya Ginting Agung Dwi Wahyu Widodo Ahmed Eliaan Shaker Abuajwa ALVERINA, CLARA Danang Himawan Limanto Deisha Laksmitha Ayomi Dharmadjati, Budi Baktijasa Dhihintia Jiwangga Suta Dhihintia Jiwangga Suta Dhihintia Jiwangga Suta Winarno Dhihintia Jiwangga Suta Winarno Dillon, Jeffrey Jeswant Hakim, Arief Rakhman Hermina Novida, Hermina I Gusti Agung Made Adnyanya Putra I Gusti Agung Made Adnyanya Putra2 Indra Alfaray, Ricky Ito Puruhito Jeffrey Jeswant Dillon Jeffrey Jeswant Dillon Juliana Juliana Juliana Juliana Ketut Putu Yasa Ketut Putu Yasa Lyndon Darwin Mahrus A Rahman, Mahrus A Merlinda Dwintasari Merlinda Dwintasari Muhammad Firdaus Negoro, Sri Pramesthi Wisnu Bowo Oky Revianto Sediono Pribadi Paul L Tahalele Pribadi, Oky Revianto Sediono Puruhito Puruhito Puruhito Puruhito, Ito Putra, I Gusti Agung Made Adnyana Putra2, I Gusti Agung Made Adnyanya Rahman, Mahrus Abdur Retno Asih Setyoningrum Reviano, Moses Orvin Rizki, Mohamad Saskia Dyah Handari Soebroto, Heroe Soebroto, Heroe Sri Pramesthi Wisnu Bowo Negoro Sri Pramesthi Wisnu Bowo Negoro Tia Harelina Tombokan, Amelia Mathilda Utamayasa, I Ketut Alit Widodo Widodo William, Andrew Winarno, Dhihintia Jiwangga Suta Wiwin Is Effendi Y Motulo Y Motulo