Two Cases of Simultaneous Abdominal Aortic Replacement and Thoracic Endovascular Aortic Repair after Arch Replacement for Abdominal Aortic Aneurysm with Type A Acute Aortic Dissection

Abstract

Arch replacement was performed to treat type A acute aortic dissection in two patients with abdominal aortic aneurysm in the acute stage. In the second stage of treatment, we performed abdominal aortic replacement and thoracic endovascular aortic repair, expecting to achieve residual entry closure and aortic remodeling. No complications of postoperative paraplegia were observed in the two patients. Postoperative computed tomography showed good aortic remodeling was achieved. This procedure might be a safe and useful treatment option.