Total Arch Replacement Combined with Stented Elephant Trunk Implantation for Acute Type A Aortic Dissection in an Octogenarian Patient

Authors

  • Zhifa Zheng, MD Division of Cardiovascular Surgery, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, Shanxi 030032, China
  • Yuyuan Hu, MD Division of Cardiovascular Surgery, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, Shanxi 030032, China
  • Xinmeng Cheng, MD Division of Cardiovascular Surgery, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, Shanxi 030032, China
  • Tao Yang, MD Division of Cardiovascular Surgery, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, Shanxi 030032, China
  • Nan Wu, MD Division of Cardiovascular Surgery, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, Shanxi 030032, China
  • Lingbo Yang, MD Division of Cardiovascular Surgery, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, Shanxi 030032, China
  • Xuening Wang Department of Cardiovascular Surgery, Shanxi Academy of Medical Sciences&Shanxi Bethune Hospital

DOI:

https://doi.org/10.1532/hsf.4659

Keywords:

aortic dissection, octogenarian, aortic surgery, stented elephant trunk procedure, total arch replacement

Abstract

Background: The indications and outcome of surgery for Acute type A aortic dissection (ATAAD) in elderly patients are still debated, especially when they were above 80 years old.

 Case presentation: This report describes the case of an octogenarian patient with ATAAD who underwent total arch replacement (TAR) combined with stented elephant trunk (SET) implantation.

Conclusion: Emergent surgery should be performed on the ATAAD octogenarians without serious preoperative complications. Acceptable outcomes could be received by total arch replacement combined with SET implantation.

References

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Published

2022-05-31

How to Cite

Zheng, Z., Hu, Y., Cheng, X., Yang, T., Wu, N., Yang, L., & Wang, X. (2022). Total Arch Replacement Combined with Stented Elephant Trunk Implantation for Acute Type A Aortic Dissection in an Octogenarian Patient. The Heart Surgery Forum, 25(3), E391-E394. https://doi.org/10.1532/hsf.4659

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Articles