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Eur J Cardiothorac Surg 2007;31:315-317. doi:10.1016/j.ejcts.2006.11.009
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

How-to-do-it

Treatment of chronic aortic type A dissection with a new designed hybridprosthesis

^a Department of Cardiovascular Surgery, Hospital Hietzing, Vienna, Austria
^b Department of Anesthesiology, Hospital Hietzing, Vienna, Austria

Received 29 August 2006; received in revised form 24 October 2006; accepted 7 November 2006.

^_* Corresponding author. Address: Hospital Hietzing, Wolkersbergenstr. 1, A-1130 Vienna, Austria. Tel.: +43 1 80110; fax: +43 1 80110 2729. (Email: michael.gorlitzer{at}wienkav.at).

This report describes the use of a new combined surgical and endovascular treatment for chronic type A aortic dissection after Cabrol operation. Intraoperative antegrade stenting of the descending aorta combined with distal ascending aorta and aortic arch repair was performed using the E-vita open endoluminal stentgraft. The stentgraft was deployed under direct vision into the true lumen. Postperative CT scan revealed a partially thrombosed false lumen. This report shows that a combined surgical and endovascular approach of chronic type A aortic dissection in a single stage procedure is a feasible option and extends aortic repair without increase of risk.

Key Words: Aortic dissection • Stent • Aortic root

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				M. Gorlitzer, G. Weiss, M. Thalmann, G. Mertikian, W. Wislocki, J. Meinhart, F. Waldenberger, and M. Grabenwoger Combined Surgical and Endovascular Repair of Complex Aortic Pathologies With a New Hybrid Prosthesis Ann. Thorac. Surg., December 1, 2007; 84(6): 1971 - 1976. [Abstract] [Full Text] [PDF]