title: Combined retrograde stent-graft placement and surgical repair for a Stanford type A aortic dissection.
abstract: OBJECTIVE
  To report a case of retrograde acute Stanford type A aortic dissection treated without hypothermic circulatory arrest.
  
  
  METHODS
  A 55-year-old man presented with a retrograde acute type A aortic dissection with an entry tear 30 mm below the left subclavian artery. A concurrent emergent endovascular and surgical treatment was performed, excluding the entry tear with retrograde delivery of a stent-graft and replacing the ascending aorta with a Dacron tube without circulatory arrest.
  
  
  CONCLUSIONS
  Avoiding hypothermic circulatory arrest was the main advantage of this hybrid therapeutic choice. This combined technique may be of interest in acute retrograde type A dissections that present complications such as impending rupture or visceral malperfusion. A close collaboration between endovascular specialists and cardiac surgeons is essential for such a hybrid strategy.
authors.affiliation: Department of Cardiovascular Surgery, Hôpital Européen Georges Pompidou, Assistance Publique des Hôpitaux de Paris, Faculté de Médecine René Descartes, Paris, France.
authors.forename: Martin
authors.initials: M
authors.lastname: Rouer
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Alsac
authors.forename: Jérôme
authors.initials: J
authors.lastname: Jouan
authors.forename: Eric
authors.initials: E
authors.lastname: Bruguière
authors.forename: Paul
authors.initials: P
authors.lastname: Achouh
authors.forename: Pierre
authors.initials: P
authors.lastname: Julia
authors.forename: Jean-Noël
authors.initials: JN
authors.lastname: Fabiani
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011093:Polyethylene Terephthalates