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Ann Thorac Surg 2007;83:666-668
© 2007 The Society of Thoracic Surgeons

Case Reports

Combined Open and Endovascular Repair of Acute Type A Aortic Dissection

Vitaly Aleksandrovich Sorokin, MD*, Chee Fui Chong, MD, Chuen Neng Lee, MD, Poo Sing Wong, MD, Lenny Tan, MD, Peter Ashley Robless, MD

Department of Cardiac, Thoracic and Vascular Surgery, National University Hospital, National University of Singapore, Yong Loo Lin School of Medicine, Singapore

Accepted for publication July 26, 2006.

* Address correspondence to Dr Sorokin, National University Hospital of Singapore, Cardio Thoracic and Vascular Department, 5 Lower Kent Ridge Rd, 119074 Singapore. (Email: vsorokin72{at}hotmail.com).

A 62-year-old man with an acute Stanford type A dissection underwent successful emergent replacement of the ascending aorta. The patient was readmitted with a left pleural effusion and complex dissection in the arch and descending thoracic aorta. A hybrid surgical procedure was performed involving complete arch transposition, followed by arch and descending aortic stenting, with a good result. The surgical management and techniques are reviewed.




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