{Reference Type}: Case Reports
{Title}: Aortic arch de-branching for suspected expanding perigraft haematoma after previous acute type-A dissection repair with AMDS stent: a technique for a potential future problem.
{Author}: Karsan R;Shearer N;Doyle C;Roberts R;Ahmed A;
{Journal}: J Cardiothorac Surg
{Volume}: 19
{Issue}: 1
{Year}: 2024 Jun 21
{Factor}: 1.522
{DOI}: 10.1186/s13019-024-02825-5
{Abstract}: <B>BACKGROUND: </B>Acute Stanford type- A aortic dissections make up a large part of emergency cardiac surgery. They also carry a significant burden of morbidity. New techniques to aid aortic remodelling include the Ascyrus Medical Dissection Stent (AMDS): Its increasing use, looks to present a potential problem in cases where surgery involving the aortic arch may be required.<BR><B>METHODS: </B>We present the case of a 49-year-old male who underwent urgent redo-surgery for total arch replacement and de-branching following recent replacement of the ascending aorta for acute type-A dissection, where an AMDS stent was deployed. The patient underwent total arch replacement with a stented tri-furcate prosthesis and de-branching of arch vessels with the stent landed inside the previous AMDS, to good effect.<BR><B>CONCLUSIONS: </B>This case highlights a possible approach to aortic arch surgery in patients who have previous had AMDS insertion.