Related Experiment Video
Updated: Jun 6, 2026
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Combined retrograde stent-graft placement and surgical repair for a Stanford type A aortic dissection
Martin Rouer1, Jean-Marc Alsac, Jérôme Jouan
1Department of Cardiovascular Surgery, Hôpital Européen Georges Pompidou, Assistance Publique des Hôpitaux de Paris, Faculté de Médecine René Descartes, Paris, France.
Purpose:
To report a case of retrograde acute Stanford type A aortic dissection treated without hypothermic circulatory arrest.
Case Report:
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.
Conclusion:
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.
