A Case of Traumatic Retrograde Type A Aortic Dissection Accompanied by Multiorgan Injuries.

Area of Science:

• Cardiovascular Surgery
• Trauma Surgery
• Vascular Surgery

Background:

• Aortic dissection is a life-threatening condition often requiring immediate surgical intervention.
• Severe trauma patients present complex challenges for surgical procedures due to systemic injuries and contraindications.

Observation:

• A 75-year-old female sustained retrograde type A aortic dissection, rib fractures, and hepatic injury post-trauma.
• The patient's condition involved intraperitoneal bleeding, necessitating careful management.

Findings:

• Surgical repair involved total arch replacement using an open stent graft with cardiopulmonary bypass and circulatory arrest.
• A 7-day non-operative management period was crucial for stabilizing other injuries before surgery.
• The patient required prolonged rehabilitation but achieved a steady recovery.

Implications:

• This case demonstrates the feasibility of delayed surgical repair for aortic dissection in selected severe trauma patients.
• Careful pre-operative stabilization and organ assessment are critical for successful outcomes.
• This strategy may improve survival rates in complex trauma scenarios involving aortic injury.