Abstract
A 57-year-old female was admitted for severe back pain. CT, aortography and transesophageal echocardiography showed enlargement of the ascending aorta with large entry and dissection of the descending thoracic and abdominal aorta with entry located at the distal arch. She had left leg ischemia due to a narrow true lumen. Using cardiopulmonary bypass with circulatory arrest and cervical perfusion, the ascending aorta and arch were replaced and three cervical vessels were reconstructed. A stent graft was inserted into the descending aorta and anastomosed to the distal end of the graft and native aorta. There were no postoperative complications. Postoperative CT showed no leakage at the stent graft attachment. This surgical stent graft operation for chronic type A and acute type B dissection was a relatively minimal invasive and effective method.
