A case of external iliac artery stenting that was effective for cardiopulmonary bypass weaning after retrograde aortic dissection caused by femoral artery perfusion

Abstract

　In a case of left ventricular reconstruction for left ventricular aneurysm after open heart surgery, retrograde aortic dissection after right femoral artery perfusion was promptly diagnosed based on transesophageal echocardiography, and the perfusion site was changed to the contralateral femoral artery. When the perfusion volume decreased upon withdrawal of the cardiopulmonary bypass, the true lumen was collapsed by the false lumen, and weaning became difficult. Aortography revealed an entry point in the right external iliac artery, and stenting on this entry allowed the patient to be weaned from cardiopulmonary bypass.