Staged hybrid therapy of open and endovascular repair for acute type a aortic dissection complicated descending aortic rupture


Atsushi Tamura* , Seiichiro Murata, Kei Kazuno, Takamichi Yoshizaki, Mariko Hori

Acute type an aortic dissection is one of the most life-threatening diseases, especially when malperfusion or aortic rupture is complicated. We present the case of a 67-yearold man with right limb ischemia and descending aortic rupture complicated by acute type an aortic dissection. We performed central operation with entry resection first. On postoperative day 5, we performed thoracic endovascular aortic repair (TEVAR) for descending aorta; thereafter, we evacuated a giant extrapleural hematoma from the left thoracic cavity. The treatment was successful. Concomitant use of open surgery and endovascular repair is one of the most effective options.