Thorac Cardiovasc Surg 2010; 58(1): 49-51
DOI: 10.1055/s-0029-1185875
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Staged Hybrid Approach to Chronic Type B Aortic Dissection Involving the Distal Arch Associated with Aortic Root Aneurysm

O. S. Göksel1 , Y. Enç2 , B. Çinar2
  • 1Cardiovascular Surgery, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey
  • 2Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey
Further Information

Publication History

received March 30, 2009

Publication Date:
13 January 2010 (online)

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Abstract

Open surgical repair of complex aortic pathologies using cardiopulmonary bypass and deep hypothermic circulatory arrest still carries a substantial rate of mortality and morbidity. Endovascular stent-graft placement has developed as a safe and effective treatment modality for various diseases of the aorta. We report on the case of a 65-year-old female presenting with symptomatic type B aortic dissection with aneurysm of the ascending aorta and the aortic root. The patient was treated with a flanged composite graft custom made from a branched 24-mm Dacron graft for entire prosthetic transposition of the supra-aortic branches. Metachronously, the patient underwent endovascular stent-grafting of the descending aorta. She was discharged free of complications on day 10.

References

Dr. MD Onur S. Göksel

Cardiovascular Surgery
Istanbul University, Istanbul Medical Faculty
CAPA

Aksaray, Istanbul 80630

Turkey

Phone: + 90 2 12 41 420 00

Fax: + 90 21 63 49 91 20

Email: onurgokseljet@gmail.com