Combined Retrograde Stent-Graft Placement and Surgical Repair for a Stanford Type A Aortic Dissection

Purpose: To report a case of retrograde acute Stanford type A aortic dissection treated without hypothermic circulatory arrest. Case Report: A 55-year-old man presented with a retrograde acute type A aortic dissection with an entry tear 30 mm below the left subclavian artery. A concurrent emergent e...

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Bibliographic Details
Published in:Journal of endovascular therapy 2010-12, Vol.17 (6), p.755-758
Main Authors: Rouer, Martin, Alsac, Jean-Marc, Jouan, Jérôme, Bruguière, Eric, Achouh, Paul, Julia, Pierre, Fabiani, Jean-Noël
Format: Article
Language:English
Subjects:
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - surgery
Aneurysms
Aortic Aneurysm - diagnostic imaging
Aortic Aneurysm - surgery
Aortography - methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Endovascular Procedures - instrumentation
Humans
Male
Medical treatment
Middle Aged
Polyethylene Terephthalates
Prosthesis Design
Stents
Tomography, X-Ray Computed
Treatment Outcome
Veins & arteries
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Summary:Purpose: To report a case of retrograde acute Stanford type A aortic dissection treated without hypothermic circulatory arrest. Case Report: A 55-year-old man presented with a retrograde acute type A aortic dissection with an entry tear 30 mm below the left subclavian artery. A concurrent emergent endovascular and surgical treatment was performed, excluding the entry tear with retrograde delivery of a stent-graft and replacing the ascending aorta with a Dacron tube without circulatory arrest. Conclusion: Avoiding hypothermic circulatory arrest was the main advantage of this hybrid therapeutic choice. This combined technique may be of interest in acute retrograde type A dissections that present complications such as impending rupture or visceral malperfusion. A close collaboration between endovascular specialists and cardiac surgeons is essential for such a hybrid strategy.
ISSN:1526-6028
1545-1550
DOI:10.1583/10-3194.1