Single graft "peninsula-style" transverse aortic arch replacement in patients with type A acute aortic dissection: Case report

Vladimir Belostotsky, Darko Bislimovski, Aleksandar Nikolic, Milan Milojevic*

*Corresponding author for this work

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Abstract

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.

Original languageEnglish
Article numberrjaf292
JournalJournal of Surgical Case Reports
Volume2025
Issue number5
DOIs
Publication statusPublished - 1 May 2025

Bibliographical note

Publisher Copyright:
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2025.

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