Treatment of Delayed Retrograde Dissection after Endovascular Stenting of Thoracoabdominal Aortic Aneurysm: Graft-to-Endograft Anastomosis
DOI:
https://doi.org/10.1532/HSF98.20081106Abstract
Introduction: Endovascular treatment of thoracic aortic aneurysms may be associated with procedure-related early and late complications.
Report: We describe the case of a 70-year-old man who developed acute retrograde dissection of the ascending aorta 30 days after endovascular stent grafting of a thoracoabdominal aortic aneurysm and prior revascularization of the left subclavian artery. The ascending aorta and aortic arch were successfully replaced with a Dacron graft; the distal part of the graft was partially anastomosed to the previously placed endograft.
Discussion: Surgical repair of dissections following a thoracic endovascular procedure is reliable with a graft-to-endograft anastomosis when native aortic tissue is not suitable.
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