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Updated: Jun 13, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
[Chronic type A aortic dissection incidentally detected in a 71 year-old woman]
Beata Wozakowska-Kapłon1, Maciej Straczyński, Elzbieta Jaskulska-Niedziela
1Kliniczny Oddzial Kardiologii, Swietokrzyskie Centrum Kardiologii, Kielce. bwkaplon@poczta.onet.pl
Insights
Aortic dissection is a serious condition where the aorta wall tears. This case highlights an asymptomatic chronic type A aortic dissection found incidentally, requiring surgical intervention.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Aortic dissection involves a tear in the aorta's inner lining, leading to blood flow within the aortic wall.
- Acute aortic dissection symptoms include chest pain, hemodynamic instability, and neurological deficits.
Observation:
- A 71-year-old woman presented with an incidentally detected, asymptomatic chronic type A aortic dissection of total length.
- Diagnosis was made via ultrasonographic imaging.
Findings:
- The chronic type A aortic dissection, though asymptomatic, was extensive.
- The patient was deemed a candidate for surgical treatment.
Implications:
- This case underscores the importance of recognizing asymptomatic presentations of aortic dissection.
- Early surgical intervention is crucial for managing extensive aortic dissections, even in asymptomatic individuals.
Abstract:
Aortic dissection is a sudden event when the intimal tear occurs, blood penetrates the aortic wall through and the dissection propagates. Acute aortic dissection presents with chest pain, hemodynamic instability, absent or unequal peripheral pulses, various neurologic complications and aortic regurgitation. Noninvasive testing (echocardiography, computed tomography or magnetic resonance imaging) allows an accurate diagnosis to be made. Ascending aortic dissection often require surgery or stent-grafts, depending on their size and location. We present a case of a 71 year-old woman with an asymptomatic chronic type "A" dissection of aorta of total length, incidentally detected during ultrasonographic imaging, qualified for surgery treatment.
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