Conclusions
We successfully performed aortic replacement under hypothermic
circulation arrest in a patient with acute aortic dissection during
cryoglobulinemia treatment and obtained favorable results. Our patient
underwent PE a day before CPB and was negative for CG. Thus, if PE is
performed appropriately and CG is negative, then CPB under hypothermia
can be considered in patients with cryoglobulinemia who exhibit severe
preoperative symptoms.
Conflicts of interest . The authors declare that they have no
competing interests.
Authors’ contributions . All authors contributed to the writing
of the final manuscript.