Thoracic Endovascular Aortic Repair After Salvage Coronary Artery Bypass Graft for Type A Dissection

Acute aortic dissection (AAD) is a life-threatening condition. It has a high death rate, especially in malperfusion. An 84-year-old man diagnosed with AAD with complete right coronary artery occlusion underwent bypass of only 1 branch of the coronary artery; the chest was closed without treating the AAD. After 2 months, zone 0 thoracic endovascular aortic repair was performed for the AAD. The patient was uneventfully discharged. Treating AAD with complete right coronary artery occlusion for malperfusion first, followed by 2 phases of thoracic endovascular aortic repair for AAD, may be a useful treatment option.