Abstract
Background The authors present two cases with type B aortic dissection initially treated by
endovascular stent graft who developed aortic complications posttreatment and required
surgical treatment.
Case Description A 50-year-old woman and a 65-year-old man underwent endovascular treatment for thoracic
aortic aneurysm associated with type B dissection and —both of them evolved with endoleak
type 1. The first case was related to aortobronchial fistula, and the second one was
associated with ascending aortic aneurysm. An extra-anatomical ascending aorta-supraceliac
aorta bypass grafting was decided due to the persistent leak.
Conclusion Surgery is an excellent choice for complex complications after thoracic endovascular
aortic repair with previous failed attempts of endovascular resolution.
Keywords
thoracic endovascular aortic repair - extra-anatomical aorto-aortic bypass - aortic
bypass graft - complications
