Stanford type A aortic dissection is a life-threatening disease with a 50% risk of death within the first 48 hours. Descending thoracic aortic dissection extending into the ascending aorta is a special subgroup of type A dissection, which usually requires extensive aortic replacement. The surgical outcomes have improved with the development of surgical techniques and anesthesia, but the operative mortality rate is still high. Recently, combined surgical and endovascular treatment has been used for retrograde type A aortic dissection. Herein, we present a total endovascular stent-graft repair for type A aortic dissection with an entry tear in the descending aorta. We believe this to be a promising alternative to surgical graft replacement.
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