Combined open and endovascular repair of acute type A aortic dissection.
A 62-year-old man with an acute Stanford type A dissection underwent successful emergent replacement of the ascending aorta. The patient was readmitted with a left pleural effusion and complex dissection in the arch and descending thoracic aorta. A hybrid surgical procedure was performed involving complete arch transposition, followed by arch and descending aortic stenting, with a good result. The surgical management and techniques are reviewed.
Sorokin
Vitaly Aleksandrovich
VA
Department of Cardiac, Thoracic and Vascular Surgery, National University Hospital, National University of Singapore, Yong Loo Lin School of Medicine, Singapore. vsorokin72@hotmail.com
Chong
Chee Fui
CF
Lee
Chuen Neng
CN
Wong
Poo Sing
PS
Tan
Lenny
L
Robless
Peter Ashley
PA
D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery / Q000628:therapy*; D001014:Aortic Aneurysm / Q000601:surgery / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D019233:Retreatment; D015607:Stents