Korean J Thorac Cardiovasc Surg.  2013 Feb;46(1):68-71. 10.5090/kjtcs.2013.46.1.68.

Total Arch Replacement with Stented Elephant Trunk in DeBakey Type I Acute Aortic Dissection

• Choi HY
• Song SW
• Hong SC
• Lim SH

• KMID: 1427835
• DOI: http://doi.org/10.5090/kjtcs.2013.46.1.68

Abstract

A 67-year-old female patient was treated with conventional total arch replacement and insertion of a stented elephant trunk (SET) graft into the descending thoracic aorta for acute DeBakey type I aortic dissection at one time. She had been treated with right coronary artery stent insertion for acute myocardial infarct 4 days earlier, and at that time, she was diagnosed with acute DeBakey type I aortic dissection from the ascending aorta to the suprarenal artery based on trans-esophageal echocardiography and aorta computed tomography. Through a median sternotomy, we inserted the SET graft through the opened aorta to the descending aorta. We also performed anastomosis between the proximal stented graft and the distal aortic arch, and then performed total arch replacement. For acute DeBakey type I aortic dissection, we report total arch replacement with insertion of a SET graft as a combination of conventional surgery and the interventional technique.

Keyword

Aorta surgery; Aortic dissection

MeSH Terms

Aorta
Aorta, Thoracic
Arteries
Coronary Vessels
Echocardiography
Elephants
Female
Humans
Myocardial Infarction
Stents
Sternotomy
Transplants