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Surgical repair of retrograde type a aortic dissection after thoracic endovascular aortic repair.

Kim CY, Chang WI, Kim YS, Ryoo JY - Korean J Thorac Cardiovasc Surg (2014)

Bottom Line: It is expected that the stent graft will become an alternative method for treating aortic diseases or reducing the extent of surgery; therefore, thoracic endovascular aortic repair has widened its indications.However, it can have rare but serious complications such as paraplegia and retrograde type A aortic dissection.Here, we report a surgical repair of retrograde type A aortic dissection that was performed after thoracic endovascular aortic repair.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Korea.

ABSTRACT
It is expected that the stent graft will become an alternative method for treating aortic diseases or reducing the extent of surgery; therefore, thoracic endovascular aortic repair has widened its indications. However, it can have rare but serious complications such as paraplegia and retrograde type A aortic dissection. Here, we report a surgical repair of retrograde type A aortic dissection that was performed after thoracic endovascular aortic repair.

No MeSH data available.


Related in: MedlinePlus

(A) Computed tomography image showing retrograde type A aortic dissection (arrow) at three months after endovascular repair and (B) last follow-up image at twenty months after the ascending aorta replacement.
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Figure 2: (A) Computed tomography image showing retrograde type A aortic dissection (arrow) at three months after endovascular repair and (B) last follow-up image at twenty months after the ascending aorta replacement.

Mentions: Thoracic endovascular aortic repair (36×100 mm, SEAL thoracic limb stent graft; S&G Biotech, Seongnam, Korea) was performed as previously described [1]. There was a 12-mm-long landing zone between the left subclavian artery and aortic arch aneurysm with an aortic diameter of 30 mm. Considering the possible type Ib endoleak caused by the mild aneurysmal dilatation of the descending thoracic aorta, we planned to position two overlapping stent grafts strategically (one just distal to the left subclavian artery, and the other covering the descending thoracic aorta). Balloon angioplasty was not performed. The patient was monitored in the intensive care unit postoperatively, transferred to the general ward on the first postoperative day, and discharged on the fifth day without any specific symptoms or signs. No endoleaks were found on the computed tomogram on the second day (Fig. 1B). The patient follow-ups in the outpatient department revealed no symptoms except for the retrograde type A aortic dissection observed on the three-month computed tomogram performed as a routine follow-up study (Fig. 2A).


Surgical repair of retrograde type a aortic dissection after thoracic endovascular aortic repair.

Kim CY, Chang WI, Kim YS, Ryoo JY - Korean J Thorac Cardiovasc Surg (2014)

(A) Computed tomography image showing retrograde type A aortic dissection (arrow) at three months after endovascular repair and (B) last follow-up image at twenty months after the ascending aorta replacement.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3928262&req=5

Figure 2: (A) Computed tomography image showing retrograde type A aortic dissection (arrow) at three months after endovascular repair and (B) last follow-up image at twenty months after the ascending aorta replacement.
Mentions: Thoracic endovascular aortic repair (36×100 mm, SEAL thoracic limb stent graft; S&G Biotech, Seongnam, Korea) was performed as previously described [1]. There was a 12-mm-long landing zone between the left subclavian artery and aortic arch aneurysm with an aortic diameter of 30 mm. Considering the possible type Ib endoleak caused by the mild aneurysmal dilatation of the descending thoracic aorta, we planned to position two overlapping stent grafts strategically (one just distal to the left subclavian artery, and the other covering the descending thoracic aorta). Balloon angioplasty was not performed. The patient was monitored in the intensive care unit postoperatively, transferred to the general ward on the first postoperative day, and discharged on the fifth day without any specific symptoms or signs. No endoleaks were found on the computed tomogram on the second day (Fig. 1B). The patient follow-ups in the outpatient department revealed no symptoms except for the retrograde type A aortic dissection observed on the three-month computed tomogram performed as a routine follow-up study (Fig. 2A).

Bottom Line: It is expected that the stent graft will become an alternative method for treating aortic diseases or reducing the extent of surgery; therefore, thoracic endovascular aortic repair has widened its indications.However, it can have rare but serious complications such as paraplegia and retrograde type A aortic dissection.Here, we report a surgical repair of retrograde type A aortic dissection that was performed after thoracic endovascular aortic repair.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Korea.

ABSTRACT
It is expected that the stent graft will become an alternative method for treating aortic diseases or reducing the extent of surgery; therefore, thoracic endovascular aortic repair has widened its indications. However, it can have rare but serious complications such as paraplegia and retrograde type A aortic dissection. Here, we report a surgical repair of retrograde type A aortic dissection that was performed after thoracic endovascular aortic repair.

No MeSH data available.


Related in: MedlinePlus