Treatment of Delayed Retrograde Dissection after Endovascular Stenting of Thoracoabdominal Aortic Aneurysm: Graft-to-Endograft Anastomosis

Authors

  • Hasan Karabulut
  • Sahin Senay
  • Fevzi Toraman
  • Cem Alhan

DOI:

https://doi.org/10.1532/HSF98.20081106

Abstract

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.

References

Bethuyne N, Bove T, Van den Brande P, Goldstein JP. 2003. Acute retrograde aortic dissection during endovascular repair of a thoracic aortic aneurysm. Ann Thorac Surg 75:1967-9.nKpodonu J, Preventza O, Ramaiah VG, et al. 2008. Retrograde type A dissection after endovascular stenting of descending thoracic aorta. Is the risk real? Eur J Cardiothorac Surg 33:1014-8.nNeuhauser B, Czermak BV, Fish J, et al. 2005. Type A dissection following endovascular thoracic aortic stent-graft repair. J Endovasc Ther 12:74-81.nPasic M, Bergs P, Knollmann F, et al. 2002. Delayed retrograde aortic dissection after endovascular stenting of the descending thoracic aorta. J Vasc Surg 36:184-6.n

Published

2009-02-20

How to Cite

Karabulut, H., Senay, S., Toraman, F., & Alhan, C. (2009). Treatment of Delayed Retrograde Dissection after Endovascular Stenting of Thoracoabdominal Aortic Aneurysm: Graft-to-Endograft Anastomosis. The Heart Surgery Forum, 12(1), E61-E62. https://doi.org/10.1532/HSF98.20081106

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Section

Articles