AI Article Synopsis
- A 44-year-old man with a past case of Stanford type B acute aortic dissection was admitted for treatment due to a new acute aortic dissection confirmed by a CT scan, which revealed a significant descending aortic dissection.
- He underwent a one-stage extended aortic repair after 22 days of conservative treatment, involving surgery from the ascending to the descending thoracic aorta.
- Post-surgery, he experienced complications like right empyema and recurrent nerve palsy but improved over time and was discharged 64 days after the operation following antibiotic treatment.
Article Abstract
A 44-year old man with a history of Stanford type B acute aortic dissection was admitted for the treatment of acute aortic dissection. Computed tomography( CT) scan showed a descending entry-type non-A non-B aortic dissection with a maximum diameter of 65 mm occurring in a patient with Edwards typeⅢ right aortic arch whose left subclavian artery was obliterated. The patient was initially treated conservatively and underwent one-stage extended aortic repair from the ascending aorta to the descending thoracic aorta via median sternotomy 22 days after the symptom onset. Although the patient suffered from right empyema postoperatively, he was discharged from the hospital on postoperative day 64 after 4 weeks antibiotics therapy. The patient was also complicated by right recurrent nerve palsy, hoarseness improved over the 8 months after surgery.
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