Related Experiment Video
Updated: Jul 14, 2025
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
347
Type A Acute Aortic Dissection Presenting With Arch and Abdominal Aortic Aneurysms.
Hideki Sasaki1, Yoshiaki Sone1, Shinji Kamiya1
1Cardiovascular Surgery, Nagoya City University East Medical Center, Nagoya, JPN.
Cureus
|October 6, 2023
Summary
This case study highlights a complex aortic dissection in an elderly patient. Timely surgical interventions, including total arch replacement and endovascular repair, were crucial for managing multiple aortic aneurysms and ensuring survival.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Thoracic Surgery
Background:
- Acute aortic dissection is a life-threatening condition requiring prompt diagnosis and management.
- Managing patients with multiple aortic aneurysms presents significant surgical challenges.
Observation:
- An 89-year-old female presented with acute aortic dissection involving the aortic arch and abdominal aortic aneurysms.
- The patient required prolonged mechanical ventilation and a tracheostomy.
Findings:
- Emergent total arch replacement using a frozen elephant trunk technique was performed as the initial life-saving measure.
- Subsequent endovascular aortic repair successfully addressed the abdominal aortic aneurysm, mitigating rupture risk.
Implications:
- This case demonstrates the successful application of a hybrid surgical approach for complex aortic pathologies in elderly patients.
- Accurate computed tomography angiography and timely, multi-stage interventions are vital for improving outcomes in acute aortic syndrome with aneurysms.
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