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  • Title: Combined retrograde stent-graft placement and surgical repair for a Stanford type A aortic dissection.
    Author: Rouer M, Alsac JM, Jouan J, Bruguière E, Achouh P, Julia P, Fabiani JN.
    Journal: J Endovasc Ther; 2010 Dec; 17(6):755-8. PubMed ID: 21142486.
    Abstract:
    PURPOSE: To report a case of retrograde acute Stanford type A aortic dissection treated without hypothermic circulatory arrest. CASE REPORT: A 55-year-old man presented with a retrograde acute type A aortic dissection with an entry tear 30 mm below the left subclavian artery. A concurrent emergent endovascular and surgical treatment was performed, excluding the entry tear with retrograde delivery of a stent-graft and replacing the ascending aorta with a Dacron tube without circulatory arrest. CONCLUSION: Avoiding hypothermic circulatory arrest was the main advantage of this hybrid therapeutic choice. This combined technique may be of interest in acute retrograde type A dissections that present complications such as impending rupture or visceral malperfusion. A close collaboration between endovascular specialists and cardiac surgeons is essential for such a hybrid strategy.
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