SURGICAL REAPAIR OF ACUTE AORTIC DISSECTION – A CASE REPORT

Abstract

This case report describes the presentation, diagnosis, and surgical management of aortic dissection in a 49-year-old male patient with pre-existing comorbidities, including untreated hypertension and renal insufficiency. The patient presented with sudden-onset chest pain radiating to the left upper limb. Diagnostic tests confirmed a type A aortic dissection extending between the carotid sinus and subclavian sinus. Surgical intervention involved the replacement of the ascending aorta and aortic arch using a Thoraflex Hybrid Plexus 26/28 device. The patient's post-operative course was marked by successful extubation, correction of coagulopathy and hypertension, as well as management of early psychosyndrome. The patient was discharged in good condition, prescribed appropriate medications, and instructed on post-operative care. This case underscores the importance of prompt diagnosis and surgical intervention in aortic dissection, particularly in the presence of risk factors such as hypertension.