Annals of vascular diseases
Recurrent Type A Aortic Dissection and New Entry after Endovascular Repair
By Matsushita A, Hattori T and Mihara W.
Abstract
Thoracic endovascular aortic repair (TEVAR) for acute type B aortic dissection can be complicated by retrograde type A aortic dissection (RTAD) and stent graft-induced new entry (SINE). A 77-year-old man developed acute type A aortic dissection after TEVAR and subsequently experienced recurrent RTAD and 3 episodes of distal SINE despite multiple surgical and endovascular interventions, eventually dying of postoperative bleeding. This case highlights the potential for repeated RTAD and SINE in the same patient and underscores the importance of careful surgical planning and endovascular device selection in patients with fragile, tortuous dissected aortas.
Keywords
- aortic dissection
- postoperative complication
- thoracic endovascular aortic repair (TEVAR)
Source
Published in Annals of vascular diseases. The abstract is shown as published and remains the work of its authors; read the full article at the source.
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