# Successful Surgical Repair With Frozen Elephant Trunk for Acute Type A Aortic Dissection After Percutaneous Closure of a Patent Ductus Arteriosus

## TL;DR

A rare case of successful surgical repair for aortic dissection after PDA closure is reported using a frozen elephant trunk technique.

## Contribution

This is the first documented successful treatment of ATAAD following PDA closure using FET.

## Key findings

- A 74-year-old male with ATAAD after PDA closure was successfully treated with FET.
- The PDA closure device was left in place during the surgical repair.
- Chronic aortic remodeling was achieved without removing the PDA device.

## Abstract

Acute type A aortic dissection (ATAAD) following percutaneous closure of a patent ductus arteriosus (PDA) is an exceedingly rare complication, with no documented successful treatment outcomes in the existing literature. We report a successful case of surgical repair for ATAAD in a 74-year-old male patient who had previously undergone percutaneous PDA closure. Utilizing a translocated total arch replacement with frozen elephant trunk (FET) technique, we achieved chronic aortic remodeling without the need to remove the PDA closure device.