Key result
Primary suture closure of a re-entry intimal tear combined with hemiarch repair enabled prompt and complete resolution of the false lumen with minimal circulatory arrest time.
Why the study?
Does primary suture closure of a re-entry intimal tear during hemiarch repair improve false lumen resolution in a patient with limited extension of acute type A aortic dissection?
Case Report (n=1)
Does primary suture closure of a re-entry intimal tear during hemiarch repair improve false lumen resolution in a patient with limited extension of acute type A aortic dissection?
Primary suture closure of a re-entry intimal tear during hemiarch repair may offer a less technically demanding alternative to extensive aortic arch repair for specific type A aortic dissections.
May support simpler repair in select limited type A dissections; hypothesis-generating and requires prospective validation.
Principles of type A aortic dissection surgery emphasize the importance of operative survival and long-term outcome. Various surgical strategies have emerged aiming for improved freedom of reoperation but they can be technically demanding or associated with higher operative risks. We report a type A aortic dissection case with extension of the dissection to the proximal descending aorta where a re-entry intimal tear was identified. Instead of extensive aortic arch repair, we managed the tear with a primary suture closure technique. In conjunction with a hemiarch repair of the proximal aorta, this approach enabled a prompt and complete resolution of the false lumen at minimal cost of circulatory arrest time.
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Zhan et al. (2018) conducted a case report in Acute type A aortic dissection (n=1). Primary suture closure technique of re-entry intimal tear in conjunction with hemiarch repair was evaluated on Resolution of the false lumen and circulatory arrest time. Primary suture closure of a re-entry intimal tear combined with hemiarch repair enabled prompt and complete resolution of the false lumen with minimal circulatory arrest time.
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