Key result
One-stage hybrid surgery combining David procedures, debranching, and endovascular aortic repair was successfully performed in a 59-year-old woman with complex acute Stanford type A aortic dissection, with no post-operative complications.
Case Report (n=1)
A one-stage hybrid surgery combining the David procedure, debranching, and endovascular aortic repair was successfully performed without complications in a patient with complex acute Stanford type A aortic dissection.
Supports feasibility of hybrid one-stage repair in complex acute type A dissection; leaves open need for prospective validation before wider use.
Acute Stanford type A aortic dissection requires an extremely complex surgical strategy and presents high risk of complications. Although many different procedures were reported to treat this aortic dissection, high mortality rate and incidences of complications still exist. This study presents a 59-year-old lady with acute Stanford type A aortic dissection, which originated from the aortic root to proximal part of right external iliac artery and involved the brachiocephalic trunk, left carotid artery, celiac trunk, and left renal artery. The patient underwent one-stage hybrid surgery of David procedures, debranching, and endovascular aortic repair under ultrasound-guided aortic arch cannulation cardiopulmonary bypass (CPB). The surgery was successfully performed, and the patient showed no post-operative complication. The one-staged hybrid surgery of David procedures, debranching, and endovascular aortic repair provides novel and well-designed combined techniques for treating complex acute Stanford type A aortic dissection. Our techniques significantly lowered the risks, thereby expanding the indications of surgical intervention for acute Stanford type A aortic dissection.
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Liu et al. (2016) conducted a case report in Acute Stanford type A aortic dissection (n=1). One-stage hybrid surgery (David procedures, debranching, and endovascular aortic repair) was evaluated on Surgical success and post-operative complications. One-stage hybrid surgery combining David procedures, debranching, and endovascular aortic repair was successfully performed in a 59-year-old woman with complex acute Stanford type A aortic dissection, with no post-operative complications.
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