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Combined heart transplantation and replacement of atheromatous proximal arch
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  • Yukiharu Sugimura,
  • Arash Mehdiani,
  • Shintaro Katahira,
  • Christina Loberg,
  • Hug Aubin,
  • Artur Lichtenberg,
  • Udo Boeken,
  • Payam Akhyari
Yukiharu Sugimura
Heinrich-Heine-Universitat Dusseldorf
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Arash Mehdiani
Heinrich-Heine-University Düsseldorf
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Shintaro Katahira
Heinrich-Heine-Universitat Dusseldorf
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Christina Loberg
Heinrich-Heine-Universitat Dusseldorf
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Hug Aubin
Heinrich-Heine-University Düsseldorf
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Artur Lichtenberg
University Hospital Dusseldorf
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Udo Boeken
Dep. of Cardiovascular Surgery
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Payam Akhyari
Medical Faculty, Heinrich-Heine University
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Abstract

Concomitant surgery on the aortic arch with hypothermic cardiac arrest in the setting of heart transplantation (HTX) is extremely rare. A 67-year-old woman who suffered from ischemic cardiomyopathy was evaluated for HTX. Computed tomography showed diffuse soft and hard atheromatous plaques of the entire aorta. Upon allocation of an appropriate donor organ, the ascending aorta and the proximal aortic arch were replaced using hypothermic cardiac arrest at 28℃ prior to arrival of the donor heart and without clamping of the diseased recipient aorta. After uncomplicated postoperative course the patient was recovered without neurological complications.