TY - JOUR
T1 - Single graft "peninsula-style" transverse aortic arch replacement in patients with type A acute aortic dissection
T2 - Case report
AU - Belostotsky, Vladimir
AU - Bislimovski, Darko
AU - Nikolic, Aleksandar
AU - Milojevic, Milan
N1 - Publisher Copyright:
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2025.
PY - 2025/5/1
Y1 - 2025/5/1
N2 - Acute type A aortic dissection, despite treatment advances, remains a critical emergency with markedly high morbidity and mortality rates. The primary goals of immediate surgical intervention are to ensure survival, prevent severe complications, and avoid subsequent interventions. We present a case of a 55-year-old male who presented with new-onset chest pain, dyspnea, and hypotension. Emergent transthoracic echocardiography and subsequent computed tomography revealed an ascending aortic dissection. The patient underwent immediate surgical repair using a "peninsula-style"technique for transverse arch replacement with a single piece of Dacron graft, preserving continuity with the proximal descending aorta and performing routine aortic valve commissural resuspension. Following an uncomplicated postoperative course, he was discharged in a stable condition, and an 18-month follow-up CT showed no signs of aorta-related complications. This case report underscores the importance of having specialized thoracic aortic teams capable of using easily reproducible techniques, reducing operative time, and yielding reliable results.
AB - Acute type A aortic dissection, despite treatment advances, remains a critical emergency with markedly high morbidity and mortality rates. The primary goals of immediate surgical intervention are to ensure survival, prevent severe complications, and avoid subsequent interventions. We present a case of a 55-year-old male who presented with new-onset chest pain, dyspnea, and hypotension. Emergent transthoracic echocardiography and subsequent computed tomography revealed an ascending aortic dissection. The patient underwent immediate surgical repair using a "peninsula-style"technique for transverse arch replacement with a single piece of Dacron graft, preserving continuity with the proximal descending aorta and performing routine aortic valve commissural resuspension. Following an uncomplicated postoperative course, he was discharged in a stable condition, and an 18-month follow-up CT showed no signs of aorta-related complications. This case report underscores the importance of having specialized thoracic aortic teams capable of using easily reproducible techniques, reducing operative time, and yielding reliable results.
UR - http://www.scopus.com/inward/record.url?scp=105004777853&partnerID=8YFLogxK
U2 - 10.1093/jscr/rjaf292
DO - 10.1093/jscr/rjaf292
M3 - Article
C2 - 40352740
AN - SCOPUS:105004777853
SN - 2042-8812
VL - 2025
JO - Journal of Surgical Case Reports
JF - Journal of Surgical Case Reports
IS - 5
M1 - rjaf292
ER -