@article{Cheng_Shi_Pe_Guo_2021, title={Typical Retrograde Type A Dissection After Previous Type B Dissection: Typical RTAAD after previous TBAD}, volume={24}, url={https://journal.hsforum.com/index.php/HSF/article/view/3811}, DOI={10.1532/hsf.3811}, abstractNote={<p class="p1"><span class="s1"><strong>Background</strong>: Stanford type B aortic dissection (TBAD) retrograde tears to Stanford type A AD (RTAAD) have been reported only rarely, but are often fatal. Early diagnosis and timely surgery are essential. We present a typical case of RTAAD after the tip of the stent directly damaged the ascending aorta wall.</span></p> <p class="p1"><span class="s1"><strong>Case</strong>: A 71-year-old woman was admitted to our department for chest pain and back pain for 10 hours. She had undergone coated stent graft implantation surgery a month previously for TBAD. On first impression, we suspected the AD may have progressed or torn retrogradely. RTAAD was confirmed by computed tomography angiography, and we successfully performed open surgery.</span></p> <p class="p1"><span class="s1"><strong>Conclusion</strong>: RTAAD should be suspected in patients with chest and back pain after endovascular stent repair. Prompt recognition is essential, and early surgical treatment is strongly recommended.</span></p>}, number={3}, journal={The Heart Surgery Forum}, author={Cheng, Zeyi and Shi, Jun and Pe, Caixia and Guo, Yingqiang}, year={2021}, month={Jun.}, pages={E589-E592} }