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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Acute Type A Aortic Dissection Causing Collapse of Previous Stent Graft
1Division of Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Republic of Korea.
The Annals of Thoracic Surgery
|December 25, 2017
Summary
A collapsed endovascular graft led to acute type A aortic dissection in a patient. Surgical repair with total arch replacement was successful, allowing the patient to walk out of the hospital.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Aortic Diseases
Background:
- A 69-year-old male presented with acute type A aortic dissection and paraplegia.
- The patient had a history of endovascular aneurysm repair 13 months prior, with complete graft collapse noted.
Observation:
- Computed tomography revealed the primary tear below the left subclavian artery origin.
- Preoperative assessment showed undetected femoral pulses.
Findings:
- Successful surgical intervention involved total arch replacement, covering the primary entry tear.
- Postoperative monitoring confirmed restored femoral pulses after cardiopulmonary bypass weaning.
Implications:
- This case highlights the potential complications of prior endovascular repairs in acute aortic dissection.
- Prompt surgical management can lead to favorable outcomes, even in complex aortic dissection cases.
- Restoration of mobility and discharge without further intervention underscore the efficacy of the surgical approach.
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