• Ann Thorac Cardiovasc Surg · Aug 1999

    Case Reports

    Open stent-graft repair for acute type A aortic dissection with an intimal tear in the descending aorta.

    • T Sueda, M Watari, K Orihashi, H Shikata, and Y Matsuura.
    • First Department of Surgery, Hiroshima University School of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
    • Ann Thorac Cardiovasc Surg. 1999 Aug 1;5(4):273-5.

    AbstractA 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.

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