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CC BY 4.0 · Aorta (Stamford) 2014; 02(02): 84-86
DOI: 10.12945/j.aorta.2014.14-001
Images in Aortic Disease
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Retrograde Type A Ascending Dissection after Total Endovascular Aortic Arch Repair

Maximilian Luehr
1   Department of Cardiac Surgery, Leipzig Heart Center, University of Leipzig, Leipzig, Germany
,
Christian D. Etz
1   Department of Cardiac Surgery, Leipzig Heart Center, University of Leipzig, Leipzig, Germany
,
Lukas Lehmkuhl
2   Department of Radiology, Leipzig Heart Center, University of Leipzig, Leipzig, Germany
,
Michael A. Borger
1   Department of Cardiac Surgery, Leipzig Heart Center, University of Leipzig, Leipzig, Germany
,
Friedrich-Wilhelm Mohr
1   Department of Cardiac Surgery, Leipzig Heart Center, University of Leipzig, Leipzig, Germany
› Author Affiliations
Further Information

Publication History

09 January 2014

12 March 2014

Publication Date:
24 September 2018 (online)

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Abstract

An 80-year-old man with aortic arch aneurysm successfully underwent surgical debranching of the supra-aortic branches followed by thoracic endovascular aortic repair of the transverse arch with 3 stent grafts via the femoral artery. His postoperative course was uneventful. However, on postoperative day 10, he developed acute chest pain and required cardiopulmonary resuscitation due to cardiac tamponade.

Key Words

Dissection - Endovascular - CT scan - Stent graft - TEVAR
 

  • References

  • 1 Kpodonu J, Preventza O, Ramaiah VG, Shennib H, Wheatley 3rd GH, Rodriquez-Lopez JA. , et al. Retrograde type A dissection after endovascular stenting of the descending thoracic aorta. Is the risk real?. Eur J Cardiothorac Surg 2008; 33: 1014-1018 . 10.1016/j.ejcts.2008.03.024
    CrossrefPubMedGoogle Scholar
  • 2 Eggebrecht H, Thompson M, Rousseau H, Czerny M, Lönn L, Mehta RH. , et al. Retrograde ascending aortic dissection during or after thoracic aortic stent graft placement: insight from the European registry on endovascular aortic repair complications. Circulation 2009; 120 (11 Suppl) S276-S281 . 10.1161/CIRCULATIONAHA.108.835926
    CrossrefPubMedGoogle Scholar
  • 3 Dong ZH, Fu WG, Wang YQ, Guo da Q, Xu X, Ji Y. , et al. Retrograde type A aortic dissection after endovascular stent graft placement for treatment of type B dissection. Circulation 2009; 119: 735-741 . 10.1161/CIRCULATIONAHA.107.759076
    CrossrefPubMedGoogle Scholar
  • 4 Czerny M, Weigang E, Sodeck G, Schmidli J, Antona C, Gelpi G. , et al. Targeting landing zone 0 by total arch rerouting and TEVAR: midterm results of a transcontinental registry. Ann Thorac Surg 2012; 94: 84-89 . 10.1016/j.athoracsur.2012.03.024
    CrossrefPubMedGoogle Scholar
  • 5 Luehr M, Etz CD, Lehmkuhl L, Schmidt A, Misfeld M, Borger MA. , et al. Surgical management of delayed retrograde type A aortic dissection following complete supra-aortic de-branching and stent-grafting of the transverse arch. Eur J Cardiothorac Surg 2013; 44: 958-963 . 10.1093/ejcts/ezt180
    CrossrefPubMedGoogle Scholar
  • 6 Milewski RK, Szeto WY, Pochettino A, Moser GW, Moeller P, Bavaria JE. Have hybrid procedures replaced open aortic arch reconstruction in high-risk patients? A comparative study of elective open arch debranching with endovascular stent graft placement and conventional elective open total and distal aortic arch reconstruction. J Thorac Cardiovasc Surg 2010; 140: 590-597 . 10.1016/j.jtcvs.2010.02.055
    CrossrefPubMedGoogle Scholar