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Updated: Dec 31, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Painless retrograde type A aortic dissection followed conservative treatment of type B aortic dissection: a case
Yongle Ruan1,2, Zhiwei Wang3, Zhiyong Wu1
1Department of Cardiovascular Surgery, Renmin Hospital of Wuhan University, Zhangzhidong Road, Wuhan, Hubei Province, 430060, People's Republic of China.
Background:
Retrograde type A aortic dissection (RTAD) is a fatal aortic disease secondary to descending aortic dissection, and might be misdiagnosed due to its atypical symptoms lead to catastrophic outcomes.
Case Presentation:
We herein reported a case of a 40-year old Chinese non-comorbid man who received conservative treatment for acute type B aortic dissection and progressed to RTAD in a painless manner in a week. After open surgical aortic repair with stented elephant truck technique, the patient survived without obvious complication and cured with a satisfactory outcome in a half-year follow-up.
Conclusion:
This case indicates that RTAD may present without typical symptoms, early diagnosis and open surgical procedure are imperative for treating RTAD.
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