scholarly journals Late Retrograde Aortic Dissection after Hybrid Thoracic Endovascular Aortic Repair (TEVAR): A Case Report

Author(s):  
Safieh Boroumand ◽  
Seyed Hossein Ahmadi-Tafti ◽  
Saeed Davoodi ◽  
Seyed Khalil Forouzannia

Open total arch replacement is allied to high rates of mortality and morbidity; surgeons, therefore, tend to choose hybrid aortic arch repair as a less invasive operative procedure for the treatment of aortic arch aneurysms, especially in high-risk patients. However, studies on the early and late outcomes of patients undergoing hybrid aortic arch repair have revealed high rates of reintervention and reoperation compared with open total arch replacement. Here, we describe a male patient with late retrograde aortic dissection after hybrid thoracic endovascular aortic repair for aortic arch aneurysms. The patient returned 3 years after the procedure with signs of dyspnea on exertion and chest pain. Transthoracic echocardiography and computed tomography showed dissection of the ascending aorta, for which he underwent a redo Bentall procedure. The patient was weaned from cardiopulmonary bypass without any problem and discharged after 7 days.

2020 ◽  
Vol 23 (4) ◽  
pp. E524-E526
Author(s):  
Masato Hayakawa ◽  
Takaaki Nagano ◽  
Isao Nishijima ◽  
Kento Shinzato ◽  
Ryo Ikemura ◽  
...  

Background: A 64-year-old woman presented with dilatation of the distal aortic arch secondary to chronic type B aortic dissection. Case Report: The patient underwent fenestrated thoracic endovascular aortic repair (TEVAR) for closure of the entry site, and reconstruction of the left subclavian artery with a covered stent. On the 40th postoperative day, a retrograde type A aortic dissection (RTAD) was observed on computed tomography and she underwent emergency surgery. The entry tear, related to the proximal bare metal stent, was located in front of the aortic arch. A partial aortic arch replacement was performed. Conclusion: Consideration of the risk factors of RTAD is important when performing TEVAR.


2018 ◽  
Vol 11 (4) ◽  
pp. 549-552
Author(s):  
Kanako Hayashi ◽  
Naritaka Kimura ◽  
Masatoshi Ohno ◽  
Kentaro Yamashita ◽  
Hiroaki Izumida ◽  
...  

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Sung Joon Han ◽  
Man-Shik Shim ◽  
Woo Sik Han ◽  
Hyun Jin Cho ◽  
Min-Woong Kang ◽  
...  

Abstract The recent rise in minimally invasive cardiovascular procedures is being accompanied by an increase in related complications. We report on an acute type A aortic dissection performed in an 82-year-old man 1 week after staged ‘zone 0’ hybrid thoracic endovascular aortic repair (TEVAR). Previously, the patient had undergone type I hybrid arch debranching and staged ‘zone 0’ TEVAR for an aortic arch aneurysm. ‘Zone 0’ TEVAR after type I hybrid debranching might increase the risk for aortic injury on the residual native aorta and should, therefore, be closely followed up to enable the early diagnosis of complications.


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