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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
[Aortic Root Reconstruction Using Partial Remodeling Technique for Stanford Type A Acute Aortic Dissection:Report of
Hiroyuki Yamada1, Yoshiki Onuki, Yuji Kamikawa
1Department of Cardiovascular Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Japan.
None:
We report a case of Stanford type A acute aortic dissection successfully treated with partial remodeling (PR) technique for aortic root reconstruction. A 60-year-old male presented with chest pain and was diagnosed as having acute aortic dissection with pericardial effusion. Emergency surgery revealed intimal tear in the right coronary sinus. We performed PR technique, reconstructing only the right coronary sinus with a prosthetic patch while preserving the native aortic valve. The patient recovered well and postoperative computed tomography (CT) showed patent reconstructed right coronary artery. PR technique, when appropriately indicated, offers advantages of shorter operative time with native valve preservation, making it a valuable option for selected cases of acute aortic dissection involving the aortic root.

