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Updated: May 23, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Challenging management of a complex distal aortic arch pseudoaneurysm following previous aortic dissection repair
Krista Moore1, Nirmal Kakani, Michael W A Chu
1Division of Cardiac Surgery, Department of Surgery, University of Western Ontario, Lawson Health Research Institute, London, ON, Canada.
Abstract:
The primary goals of surgery for acute aortic dissection are to resect or control the intimal flap, prevent distal malperfusion, protect the brain and have a viable patient. However, several technical measures are important to prevent early and late sequalae, including adequate aortic resection, creating a stable anastamotic suture line, appropriate graft measurement and tailoring and completely resecting inciting aortic aneurysms. Utilizing simultaneous sternotomy and thoracotomy incisions, we report the re-operative management of a patient with an expanding distal aortic arch pseudoaneurysm, extending into the left pleural space, superimposed upon severely kinked proximal ascending aortic grafts and an aneurysmal aortic root only 6 months after initial repair.
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