Aortic Repair After Acute Intramural Hematoma

This video shows an 85-year-old woman who presented to the emergency room with chest pain and a 6.5 cm ascending aorta containing an intramural hematoma and a pericardial effusion.  

The innominate artery was cannulated to perfuse and cool the brain before any further intervention.  The left carotid artery was clamped, allowing the brain to be cooled while keeping the body warm.  

The aorta was cannulated, opened, and a large tear was seen in the lesser curve of the aorta. The ascending aorta was replaced with a 30 mm Dacron tube graft after the aneurysm was resected.  

Disclaimer

The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.