One Stage Surgical Treatment of Debakey Type I Aortic Dissection, using a Hybrid Stent-Graft E-Vita Open

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Joao de Deus e Brito, Claudio Roberto Assumpcao, Gerez F Martins, Eduardo Simas4 Roberto Young Jr, Mauricio Lobo Nascimento, Lucas Moura Bezz Maciel, Luisa de Campos Guimaraes

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Published: 4 October 2018 | Article Type :

Abstract

Acute aortic dissection is a lethal condition, with an average thirty-day mortality rate of 48% with clinical approach and 26% if surgical intervention is performed early. We present a case of a 48 –year-male suffering type A acute aorta dissection, second rupture point after left subclávia and large aneurysm of descending aorta without aortic valve regurgitation. The patient was submitted to surgical treatment with extracorporeal circulation and a hybrid prosthesis composed of a polyester segment for the replacement of the ascending aorta and arch, together with an auto expanding distal end graft positioned inside the true lumen of the descending thoracic aorta. A two and a half year follow up.

Keywords: Surgery, one stage treatment, dissecting aorta. E-vita Open, hybrid stent-graft, aortic arch, descending aorta. Thoracic aorta.

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Joao de Deus e Brito, Claudio Roberto Assumpcao, Gerez F Martins, Eduardo Simas4 Roberto Young Jr, Mauricio Lobo Nascimento, Lucas Moura Bezz Maciel, Luisa de Campos Guimaraes. (2018-10-04). "One Stage Surgical Treatment of Debakey Type I Aortic Dissection, using a Hybrid Stent-Graft E-Vita Open." *Volume 1*, 2, 28-31