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Updated: Mar 18, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
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Complex Reoperation for Late Complications After Acute Type A Aortic Dissection Surgery
Guillermo Stöger1, Matías Ríos1, Roberto Battellini1
1Department of Cardiovascular Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Aorta (Stamford, Conn.)
|July 9, 2016
Summary
Managing acute Type A aortic dissection is complex. This case highlights a challenging reoperation for aortic dissection, involving aortic arch and root replacement with successful coronary artery reinsertion.
Area of Science:
- Cardiovascular Surgery
- Aortic Disease Management
- Complex Aortic Reconstruction
Background:
- Acute Type A aortic dissection management remains challenging.
- Previous interventions for aortic dissection can lead to complex reoperations.
- Long-term complications include aortic root dilation and endoleaks.
Observation:
- A 59-year-old female with prior Type A dissection repair underwent endovascular descending aorta treatment.
- Follow-up revealed aortic root dilation and a Type I endoleak, necessitating complex reoperation.
- The patient had a history of supracoronary ascending aorta and aortic valve replacement 19 years prior.
Findings:
- Successful total aortic arch replacement with a 4-branched graft was performed.
- Complete aortic root replacement using the Cabrol technique for coronary reinsertion was achieved.
- A previously implanted mechanical aortic valve was preserved.
Implications:
- Complex aortic arch and root reconstruction is feasible in reoperative settings.
- The Cabrol technique offers a viable option for coronary artery reattachment during aortic root replacement.
- This case demonstrates successful management of a challenging aortic dissection reoperation.
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