Hybrid surgery using a stent graft for DeBakey type III acute aortic dissection (case report)

• Andrey V. Marchenko
• Pavel A. Myalyuk
• Alexey A. Petrishchev
• Artem A. Porodikov
• Faina B. Samoshina
• Vyacheslav A. Belov

Abstract

Acute aortic dissection belongs to life-threatening conditions, requiring thorough diagnosis and selection of individual therapeutic policy depending on peculiarities of the pathology course. Although at the moment, the main method of treatment of a patient with stable DeBakey type III acute aortic dissection is conservative management, we would like to present a clinical case of hybrid surgical treatment using a stent graft for correction of a dissecting aneurysm as an alternative option to major open aortic replacement and endovascular stenting.

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Marchenko A.V., Belov V.A.; data collection and handling – Myalyuk P.A., Petrishchev А.А., Samoshina F.B.; statistical processing – Samoshina F.B.; draft manuscript preparation – Samoshina F.B.; manuscript revision – Myalyuk P.A., Samoshina F.B.

For citation: Marchenko A.V., Myalyuk P.A., Petrishchev А.А., Porodikov A.A., Samoshina F.B., Belov V.A. Hybrid surgery using a stent graft for DeBakey type III acute aortic dissection (case report). Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2025; 31 (1): 149–56. DOI: https://doi.org/10.33029/1027-6661-2025-31-1-149-156

Keywords: minimally invasive surgery; acute aortic dissection; hybrid surgery; stent graft; mini-J-stenotomy