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

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.