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Updated: Jun 24, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Massive intraoperative thrombus of the aortic arch and proximal descending aorta
David C Reineke1, Martin T R Grapow, Martin Schumann
1Department of Cardiovascular Surgery, University Hospital, Freiburgstrasse, Bern, Switzerland. dr.d.reineke@gmail.com
Abstract:
A 49-year-old male patient presented with a paravalvular leakage 18 years after aortic valve replacement. The patient received a mechanical valve and was weaned uneventfully from cardiopulmonary bypass. After a drop in the pressure curve of the left radial artery an additional line was placed in the proximal ascending aorta showing normal systemic pressure. Transesophageal echocardiography showed a massive circular thrombosis of the distal aortic arch. The patient received a covered stent to expand the residual aortic lumen and left the hospital in good health.
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