title: Combined open and endovascular repair of acute type A aortic dissection.
abstract: 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.
authors.affiliation: Department of Cardiac, Thoracic and Vascular Surgery, National University Hospital, National University of Singapore, Yong Loo Lin School of Medicine, Singapore. vsorokin72@hotmail.com
authors.forename: Vitaly Aleksandrovich
authors.initials: VA
authors.lastname: Sorokin
authors.forename: Chee Fui
authors.initials: CF
authors.lastname: Chong
authors.forename: Chuen Neng
authors.initials: CN
authors.lastname: Lee
authors.forename: Poo Sing
authors.initials: PS
authors.lastname: Wong
authors.forename: Lenny
authors.initials: L
authors.lastname: Tan
authors.forename: Peter Ashley
authors.initials: PA
authors.lastname: Robless
mesh_terms: 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