title: Open stent-graft repair for acute type A aortic dissection with an intimal tear in the descending aorta.
abstract: A 47-year-old man with acute retrograde aortic dissection (Stanford type A) was treated with total aortic arch replacement and endoluminal stent-grafting for an intimal tear in the descending aorta. A stent-graft was introduced into the descending aorta via the transected arch aorta and the entry of the dissecting aneurysm was closed. Open endovascular stent-grafting via the arch aorta is an alternative for repair of acute type A aortic dissection with an intimal tear in the descending aorta, in cases where direct closure of the intimal tear is difficult.
authors.affiliation: First Department of Surgery, Hiroshima University School of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Sueda
authors.forename: M
authors.initials: M
authors.lastname: Watari
authors.forename: K
authors.initials: K
authors.lastname: Orihashi
authors.forename: H
authors.initials: H
authors.lastname: Shikata
authors.forename: Y
authors.initials: Y
authors.lastname: Matsuura
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents