Key result
Aortic root repair combined with ascending aorta replacement, Sun's procedure, left vertebral artery graft implantation, and CABG successfully treated a 71-year-old male with chronic aortic dissection.
Why the study?
Partial aortic root remodelling is rarely performed for chronic aortic dissection involving the coronary artery.
Case Report (n=1)
A complex surgical strategy involving aortic root repair, ascending aorta replacement, Sun's procedure, and CABG was successfully utilized to treat a patient with chronic Stanford type A aortic dissection and Neri type C coronary occlusion.
Answers are grounded in this paper and cite their sources.
May support complex repair feasibility in rare chronic type A dissection; leaves open need for larger validation.
While there are many reports on partial aortic root remodelling, it is rarely performed for chronic aortic dissection of the coronary artery. This case report describes a 71-year-old male patient with chronic aortic dissection who was admitted to hospital due to repeated palpitations and chest distress. He had a long-term occlusion of the right coronary artery and an abnormal origin of the left vertebral artery. A carefully planned surgical strategy was arranged for this patient, and the surgical experience is described and discussed herein. Briefly, the patient was treated by aortic root repair plus ascending aorta replacement plus Sun's procedure plus left vertebral artery graft implantation plus coronary artery bypass graft (right coronary artery to saphenous vein to innominate artery). At approximately 6 months following surgery, the patient had returned to normal living conditions without any reports of discomfort.
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Tang et al. (2023) conducted a case report in Chronic Stanford type A aortic dissection combined with Neri type C coronary occlusion (n=1). Aortic root repair plus ascending aorta replacement plus Sun's procedure plus left vertebral artery graft implantation plus coronary artery bypass graft was evaluated on Return to normal living conditions without discomfort. Aortic root repair combined with ascending aorta replacement, Sun's procedure, left vertebral artery graft implantation, and CABG successfully treated a 71-year-old male with chronic aortic dissection.
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