Abstract
A 48-year-old man was admitted to our hospital with chronic aortic dissection Stanford Type A. His diagnosis was confirmed by chest multi-detector computed tomography (CT). The patient underwent combined (i.e., hybrid) open and endovascular repair (frozen elephant trunk) in a one-stage operation with moderate hypothermic circulatory arrest and antegrade cerebral perfusion. His postoperative course was uneventful, and he was discharged home on postoperative day 9. At 2-year follow-up, chest CT angiography revealed complete shrinkage of the obliterated false lumen in the distal aortic arch and descending thoracic aorta.
Highlights
We present a case of a 48-year-old man who underwent elective combined (i.e., hybrid) open and endovascular repair of chronic aortic dissection Type A (frozen elephant trunk with endovascular stent) in a one-stage operation with moderate hypothermic circulatory arrest and antegrade cerebral perfusion (ACP)
We present a case of a 48-year-old man who underwent elective combined open and endovascular repair of chronic aortic dissection Type A in a one-stage operation with moderate hypothermic circulatory arrest and antegrade cerebral perfusion (ACP)
58% with dissection of the ascending aorta above the sinotubular junction extending to the aortic arch
Summary
We present a case of a 48-year-old man who underwent elective combined (i.e., hybrid) open and endovascular repair of chronic aortic dissection Type A (frozen elephant trunk with endovascular stent) in a one-stage operation with moderate hypothermic circulatory arrest and antegrade cerebral perfusion (ACP). Abstract A 48-year-old man was admitted to our hospital with chronic aortic dissection Stanford Type A. The patient underwent combined (i.e., hybrid) open and endovascular repair (frozen elephant trunk) in a one-stage operation with moderate hypothermic circulatory arrest and antegrade cerebral perfusion.
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