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Updated: Jan 21, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Surgical repair of Stanford type A acute aortic dissection with extreme tuberculosis-related mediastinal deviation
Hiroyuki Saisho1, Satoru Tobinaga1, Shohei Yoshida1
1Department of Surgery, Kurume University School of Medicine, Kurume, Japan.
Abstract:
In this article, we report on the case of an 85-year-old woman with a history of left pulmonary tuberculosis, who was referred for Stanford type A acute aortic dissection. A preoperative chest X-ray and computed tomography revealed extreme mediastinal deviation to the left. We decided to perform surgery with left rib-cross thoracotomy. This approach yielded excellent exposure of the aortic root, ascending aorta and aortic arch. Following an uneventful operative and postoperative course, the patient was discharged on the 21st postoperative day.
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