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Updated: Aug 8, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Intraoperative Type B Aortic Dissection during Total Arch Replacement
Yojiro Machii1, Naohiro Shimada2, Fumihiro Kitashima3
1Department of Cardiovascular Surgery, Tokyo Nishi Tokusyukai Hospital, Tokyo, Japan. machii.yojiro@nihon-u.ac.jp.
Background:
Intraoperative aortic dissection is an extremely serious complication that should be prevented whenever possible. When it does occur, it requires urgent clinical management.
Case Presentation:
We report the case of a 78-year-old man with Marfan syndrome who developed an intraoperative complicated type B aortic dissection with a distal anastomosis entry site during total arch replacement for a chronic dissection.
Conclusion:
Performing immediate thoracic endovascular aortic repair, we were able to improve malperfusion to the lower extremities occurred during total arch replacement.
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