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Updated: May 8, 2026

A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Aortic arch de-branching for suspected expanding perigraft haematoma after previous acute type-A dissection repair
Rickesh Karsan1, Niamh Shearer2, Ciara Doyle2
1Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, BT12 6BA, UK. Rickesh.karsan@belfasttrust.hscni.net.
Background:
Acute Stanford type- A aortic dissections make up a large part of emergency cardiac surgery. They also carry a significant burden of morbidity. New techniques to aid aortic remodelling include the Ascyrus Medical Dissection Stent (AMDS): Its increasing use, looks to present a potential problem in cases where surgery involving the aortic arch may be required.
Case Report:
We present the case of a 49-year-old male who underwent urgent redo-surgery for total arch replacement and de-branching following recent replacement of the ascending aorta for acute type-A dissection, where an AMDS stent was deployed. The patient underwent total arch replacement with a stented tri-furcate prosthesis and de-branching of arch vessels with the stent landed inside the previous AMDS, to good effect.
Conclusion:
This case highlights a possible approach to aortic arch surgery in patients who have previous had AMDS insertion.
Related Concept Videos
Aneurysm I: Introduction
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Aneurysm III: Interprofessional Care

