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Ann Thorac Surg 2002;73:1616-1618
© 2002 The Society of Thoracic Surgeons

Case report

Type-A acute aortic dissection: combined operation plus stent management

Daniel Roux, MD*a, Laurent Brouchet, MDa, Philippe Concina, MDa, Tamer Elghobary, MDa, Yves Glock, MD, PhDa, Gérard Fournial, MDa

a Department of Cardiovascular Surgery, Hôpital de Rangueil, Toulouse, France

Accepted for publication October 10, 2001.

* Address reprint requests to Dr Roux, Département de Chirurgie Cardiovasculaire, Hôpital de Rangueil, 1 Ave Jean Poulhes, 31403 Toulouse Cedex 4, France
e-mail: fournial.g{at}chu-toulouse.fr

When the port of entry of acute type-A aortic dissection is at the level of the horizontal portion of the aortic arch, the latter should be replaced by a prosthesis. To avoid performing this difficult procedure in an emergency situation, we place a stent in the aortic arch. Then we replace the ascending aorta by a prosthesis.




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