Aortic valve-sparing root replacement (David-I) for acute aortic dissection type A.

Abstract

A fifty-year-old male patient presented with sudden acute chest pain and right lower leg pain to a regional hospital. He underwent thrombectomy of the right iliac artery by the local vascular surgeon. However, pain persisted and a subsequent computed tomography (CT) angiogram of the chest and abdomen was performed. The CT scan showed acute aortic dissection type A (AADA, DeBakey type I) with collapse of the true lumen in the descending aorta. The patient was then immediately transferred to our hospital.