Redo aortic arch repair using trifurcated hybrid prosthesis after failed Ascyrus medical dissection stent treatment.

ABSTRACT:

Background

The management of acute type A aortic dissection (ATAAD) using the Ascyrus Medical Dissection Stent (AMDS) can lead to complications due to the persistence of the false lumen (FL). This case report presents two instances of failed AMDS treatment for ATAAD, highlighting the novel use of a trifurcated hybrid prosthesis for redo aortic arch repair using a minimally invasive frozen elephant trunk (FET) technique.

Case presentation

Case 1: A 57-year-old male, previously treated with AMDS for ATAAD, presented with an enlarging aortic arch and persistent FL two years post-surgery caused by re-entry in the distal aortic arch. Redo surgery using the FET technique with an E-vita OPEN NEO Trifurcated hybrid prosthesis resulted in successful repair and partial FL thrombosis.

SUBMITTER: Al-Obaidi M 

PROVIDER: S-EPMC11475210 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature