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.