Retrograde Ascending Aortic Dissection in the Midterm Period after Thoracic Endovascular Aortic Repair: a Case Report and Literature Review.


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Erkul S., Alptekin E.

Acta chirurgica Belgica, pp.1-4, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2020
  • Doi Number: 10.1080/00015458.2020.1794340
  • Journal Name: Acta chirurgica Belgica
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.1-4
  • Keywords: Aortic dissection, endovascular aortic repair, hemiarch replacement
  • Kütahya Health Sciences University Affiliated: Yes

Abstract

Retrograde ascending aortic dissection (rAAD) is a catastrophic complication of thoracic endovascular aortic repair (TEVAR). A 56 year-old male patient who had undergone TEVAR for Stanford type B aortic dissection 6-month ago was admitted to our clinic with uncontrolled hypertension for the last twelve hours and history of a syncopal attack three days ago. Retrograde ascending aortic dissection was detected in computed tomography angiography. Ascending aorta and hemiarch replacement with a Dacron graft was safely performed via hypothermic circulatory arrest and antegrade cerebral perfusion for the treatment of rAAD after TEVAR.