Key result
A staged, hybrid approach consisting of zone 2 arch replacement and completion thoracic endovascular aortic repair resulted in favorable remodeling of the entire thoracic aorta in a patient with retrograde acute type A aortic dissection.
Case Report (n=1)
A staged hybrid approach using zone 2 arch replacement and TEVAR with balloon-assisted stent graft dilatation may be an effective alternative to the frozen elephant trunk procedure for retrograde acute type A aortic dissection.
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This hybrid staged approach may offer an alternative to frozen elephant trunk in select cases; leaves open need for prospective validation.
We describe a case of retrograde acute type A aortic dissection approached by a hybrid, staged approach consisting of a zone 2 arch replacement and completion thoracic endovascular aortic repair procedure combined with distal balloon-assisted stent graft dilatation to prevent retrograde false lumen flow. This technique may be an alternative and more complete when compared with a frozen elephant trunk procedure at onset. Additionally, favorable remodeling of the entire thoracic aorta is observed.
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Saouti et al. (2024) conducted a case report in Retrograde acute type A aortic dissection (n=1). Staged, hybrid approach (zone 2 arch replacement and completion thoracic endovascular aortic repair with distal balloon-assisted stent graft dilatation) was evaluated on Prevention of retrograde false lumen flow and aortic remodeling. A staged, hybrid approach consisting of zone 2 arch replacement and completion thoracic endovascular aortic repair resulted in favorable remodeling of the entire thoracic aorta in a patient with retrograde acute type A aortic dissection.
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