Surgical technique for acute retrograde type A aortic dissection after zone 2 TEVAR for complicated type B dissection in a 63-year-old patient

J Card Surg. 2022 Sep;37(9):2747-2749. doi: 10.1111/jocs.16710. Epub 2022 Jun 24.

Abstract

Patients suffering retrograde type A aortic dissection after TEVAR for type B dissection are at higher risk of mortality than their spontanous counterparts and the kind of optimal therapy remains obscure. We present a case of successful open surgical repair where distal open anastomosis was accomplished by cutting off the un-covered stent portion and suturing a vascular prosthesis to the dissected distal aortic arch including the covered stent part. The clinical course was regular. Immediate and radical repair in the aortic arch may be the adequate response in such instances.

Keywords: TEVAR; retrograde type A aortic dissection; type B dissection.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery
  • Aortic Aneurysm, Thoracic* / complications
  • Aortic Dissection* / etiology
  • Blood Vessel Prosthesis / adverse effects
  • Blood Vessel Prosthesis Implantation* / methods
  • Endovascular Procedures* / methods
  • Humans
  • Middle Aged
  • Retrospective Studies
  • Stents / adverse effects
  • Treatment Outcome