Work

Combined Bentall, Coronary Artery Bypass Grafting and Implantation of Ascyrus Medical Dissection Stent Landed Inside a Thoracic Endovascular Aortic Repair Stent

Year: 2026

Type: article

Abstract: A 58-year-old male presented with Acute Type A Aortic Dissection (ATAAD) and left lower limb paralysis with a history of previously implanted Thoracic Endovascular Aortic Repair (TEVAR). Entry tear of the ATAAD was evident within the ascending aorta with extension to distal left main and supra-aortic branches creating a dissection flap over the proximal end of the TEVAR stent causing a stent lumen blockage. Patient underwent emergency surgical repair with Bentall procedure and deployment of small Ascyrus Medical Dissection Stent (AMDS) landed distally inside the TEVAR stent and coronary artery bypass grafting (CABG), all with good effect. The patient did not have any clinical or biochemical organ malperfusion at 30-day follow-up. AMDS placement inside a TEVAR stent can clinically be an effective strategy for management of post ATAAD malperfusion with complex extensive disease requiring concurrent surgical fixations.

Source: Journal of Clinical Medicine

DOI: 10.3390/jcm15093329

Authors: Robert Grant, Pouya Nezafati, Bruce French

Institutions: John Hunter Hospital, Liverpool Hospital

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,137