Key result
Aortic root replacement with a composite graft was successfully performed in a patient with a late presenting acute type A thoracic aortic dissection four years after a three-vessel CABG.
Why the study?
Acute type A thoracic aortic dissection is life-threatening and requires prompt surgical intervention, with prior cardiac surgery recognized as a predisposing risk factor.
Case Report (n=1)
This case demonstrates the feasibility of successful surgical repair of acute type A thoracic aortic dissection in a patient with prior CABG using a composite graft while preserving native coronary ostia and aorto-saphenous buttons.
Supports feasibility in reoperative settings; leaves open need for larger series before practice change.
Acute type A thoracic aortic dissection is a life-threatening condition that requires rapid diagnosis and prompt surgical intervention. Prior cardiac surgery is recognized as a predisposing risk factor. Here, we report a rare case and successful surgical repair of a late presenting acute type A thoracic aortic dissection four years after a three-vessel coronary artery bypass grafting. Resection of the aortic valve and aneurysmal tissue was required, reconstruction was done with a composite graft, and the native coronary ostia and aorto-saphenous buttons were preserved.
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Parra et al. (2021) conducted a case report in Acute type A thoracic aortic dissection (n=1). Aortic root replacement with composite graft was evaluated on Successful surgical repair. Aortic root replacement with a composite graft was successfully performed in a patient with a late presenting acute type A thoracic aortic dissection four years after a three-vessel CABG.
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