Key result
Total arch replacement combined with stented elephant trunk implantation yielded acceptable outcomes in an octogenarian patient with acute type A aortic dissection.
Why the study?
The indications and surgical outcomes for acute type A aortic dissection in elderly patients, particularly those above 80 years old, remain debated.
Does total arch replacement combined with stented elephant trunk implantation provide acceptable outcomes in octogenarian patients with acute type A aortic dissection?
Case Report (n=1)
Does total arch replacement combined with stented elephant trunk implantation provide acceptable outcomes in octogenarian patients with acute type A aortic dissection?
Emergent surgery with total arch replacement and stented elephant trunk implantation can yield acceptable outcomes in octogenarian patients with acute type A aortic dissection without serious preoperative complications.
Answers are grounded in this paper and cite their sources.
Supports emergent surgery in select octogenarian ATAAD without complications; leaves open need for larger confirmatory studies.
BACKGROUND: The indications and outcome of surgery for Acute type A aortic dissection (ATAAD) in elderly patients are still debated, especially when they were above 80 years old. Case presentation: This report describes the case of an octogenarian patient with ATAAD who underwent total arch replacement (TAR) combined with stented elephant trunk (SET) implantation. CONCLUSION: Emergent surgery should be performed on the ATAAD octogenarians without serious preoperative complications. Acceptable outcomes could be received by total arch replacement combined with SET implantation.
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Zheng et al. (2022) conducted a case report in Acute type A aortic dissection (ATAAD) (n=1). Total arch replacement (TAR) combined with stented elephant trunk (SET) implantation was evaluated. Total arch replacement combined with stented elephant trunk implantation yielded acceptable outcomes in an octogenarian patient with acute type A aortic dissection.
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