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Updated: May 15, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Application of open triple-branched aortic arch stent graft for acute Stanford type A aortic dissection
Fei Hua1, Zhenya Shen, Yunsheng Yu
1Department of Cardiovascular Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Objective:
Complete documentation is provided outlining a process for surgical treatment of the ascending aorta using open triple-branched aortic arch stent grafts to treat acute Stanford type A aortic dissection based on clinical observations.
Methods:
A total of 34 patients underwent replacement of the ascending aorta or aortic root in combination with open placement of a triple-branched stent graft.
Results:
Mean cardiopulmonary bypass, mean myocardial ischemic, and selective cerebral perfusion times were 186 ± 38, 101 ± 27, and 39 ± 11 minutes, respectively. Two deaths occurred during hospitalization. Of the remaining patients, postoperative computed tomography angiography confirmed that all implanted stent grafts were fully opened; however, the dissected aorta and false lumen size showed evidence of reduced thickness.
Conclusions:
This applies mainly to those who need extensive surgical reconstruction of the thoracic aorta with acute Stanford type A aortic dissection, and it can reduce cardiopulmonary bypass complexities of the traditional surgeries and potential complication.