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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
A Case of Traumatic Retrograde Type A Aortic Dissection Accompanied by Multiorgan Injuries
Katsuaki Tsukioka1, Tetsuya Kono2, Kohei Takahashi1
1Department of Cardiovascular Surgery, Iida Municipal Hospital, Iida, Nagano, Japan.
Abstract:
A 75-year-old woman was involved in a traffic accident and suffered retrograde type A aortic dissection, multiple rib fractures, and grade II hepatic injury accompanied by intraperitoneal bleeding. We performed total arch replacement using an open stent graft with cardiopulmonary bypass and circulatory arrest. This procedure requires anticoagulation and hypothermia, which are principally contraindicated in severe trauma patients. However, this situation was resolved by managing the patient non-operatively for 7 days, confirming the stabilization of other injured organs, and then performing the surgery. She required prolonged postoperative rehabilitation; however, she recovered steadily.
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