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CC BY 4.0 · Aorta (Stamford) 2022; 10(03): 141-144
DOI: 10.1055/s-0042-1749171
Case Report

Retrograde Type A Aortic Dissection 48 Hours after TEVAR in a Patient with a Delayed Diagnosis of Vascular Ehlers-Danlos Syndrome

Authors

  • Ian Diebels 

    1   Department of Thoracic and Vascular Surgery, Antwerp University Hospital, Edegem, Belgium

  • Jeroen M.H. Hendriks

    1   Department of Thoracic and Vascular Surgery, Antwerp University Hospital, Edegem, Belgium
    2   European Reference Network Qualified Aorta Clinic of the Antwerp University Hospital, Antwerp University Hospital, Edegem, Belgium

  • Joke Durnez

    1   Department of Thoracic and Vascular Surgery, Antwerp University Hospital, Edegem, Belgium
    2   European Reference Network Qualified Aorta Clinic of the Antwerp University Hospital, Antwerp University Hospital, Edegem, Belgium

  • Bernard P. Paelinck

    2   European Reference Network Qualified Aorta Clinic of the Antwerp University Hospital, Antwerp University Hospital, Edegem, Belgium
    3   Department of Cardiology, Antwerp University Hospital, Edegem, Belgium

  • Haroun El Addouli

    2   European Reference Network Qualified Aorta Clinic of the Antwerp University Hospital, Antwerp University Hospital, Edegem, Belgium
    4   Department of Radiology, Antwerp University Hospital, Edegem, Belgium

  • Steven Laga

    2   European Reference Network Qualified Aorta Clinic of the Antwerp University Hospital, Antwerp University Hospital, Edegem, Belgium
    5   Department of Cardiac Surgery, Antwerp University Hospital, Edegem, Belgium

  • Bart L. Loeys

    2   European Reference Network Qualified Aorta Clinic of the Antwerp University Hospital, Antwerp University Hospital, Edegem, Belgium
    6   Department of Genetic Medicine, Antwerp University Hospital, Edegem, Belgium

Funding None.
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Abstract

We report a case of a fatal retrograde Type A aortic dissection following thoracic endovascular aortic repair (TEVAR). The patient was diagnosed with vascular Ehlers-Danlos syndrome (vEDS) only postoperatively, which is a relative contraindication for TEVAR. The patient had no major or minor criteria for vEDS. This case report emphasizes pitfalls of TEVAR in patients with a connective tissue disorder.

Keywords

acute aortic syndrome - aortic dissection - thoracic endovascular aortic repair - vascular Ehlers-Danlos syndrome - connective tissue disorder


Publikationsverlauf

Eingereicht: 11. April 2021

Angenommen: 24. September 2021

Artikel online veröffentlicht:
01. November 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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