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

Zhifa Zheng; Yuyuan Hu; Xinmeng Cheng; Tao Yang; Nan Wu; Lingbo Yang; Xuening Wang

doi:10.1532/hsf.4659

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

Heart Surg Forum. 2022 May 31;25(3):E391-E394. doi: 10.1532/hsf.4659.

Authors

Zhifa Zheng¹, Yuyuan Hu¹, Xinmeng Cheng¹, Tao Yang¹, Nan Wu¹, Lingbo Yang¹, Xuening Wang²

Affiliations

¹ Division of Cardiovascular Surgery, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, Shanxi 030032, China. [email protected].
² Department of Cardiovascular Surgery, Shanxi Academy of Medical Sciences＆Shanxi Bethune Hospital. [email protected].

PMID: 35787759
DOI: 10.1532/hsf.4659

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.

Publication types

Case Reports

MeSH terms

Aged
Aged, 80 and over
Aortic Aneurysm, Thoracic* / diagnosis
Aortic Aneurysm, Thoracic* / surgery
Aortic Dissection* / diagnosis
Aortic Dissection* / surgery
Blood Vessel Prosthesis Implantation*
Humans
Octogenarians
Treatment Outcome