Open stent-graft repair for acute type A aortic dissection with an intimal tear in the descending aorta
Sueda, T.; Watari, M.; Orihashi, K.; Shikata, H.; Matsuura, Y.
Annals of Thoracic and Cardiovascular Surgery Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia 5(4): 273-275
1999
ISSN/ISBN: 1341-1098 PMID: 10508956 Document Number: 501530
A 47-year-old man with acute retrograde aortic dissection (Stanford type A) was treated with total aortic arch replacement and endoluminal stent-grafting for an intimal tear in the descending aorta. A stent-graft was introduced into the descending aorta via the transected arch aorta and the entry of the dissecting aneurysm was closed. Open endovascular stent-grafting via the arch aorta is an alternative for repair of acute type A aortic dissection with an intimal tear in the descending aorta, in cases where direct closure of the intimal tear is difficult.