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Int J Angiol 2014; 23(02): 147-150
DOI: 10.1055/s-0034-1373735
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Case Report and Review of Literature: Late Retrograde Type A Aortic Dissection With Rupture after Repair of Type B Aortic Dissection with a GORE TAG Endovascular Prosthesis

Frank Manetta
1   Department of Cardiovascular and Thoracic Surgery, Hofstra-North Shore-LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Bayo Ajakaiye
2   Department of Surgery, Hofstra-North Shore-LIJ School of Medicine, Hofstra University, Hempstead, New York
,
S. Jacob Scheinerman
1   Department of Cardiovascular and Thoracic Surgery, Hofstra-North Shore-LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Pey-Jen Yu
1   Department of Cardiovascular and Thoracic Surgery, Hofstra-North Shore-LIJ School of Medicine, Hofstra University, Hempstead, New York
› Author Affiliations
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Publication History

Publication Date:
12 May 2014 (online)

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Abstract

Acute aortic dissection is the most common catastrophic condition of the aorta. Treatment options include open surgery and thoracic endovascular aortic reconstruction (TEVAR). We present a late Type A dissection as a complication of the management of descending aortic dissections with TEVAR and a review of the literature. TEVAR of the thoracic aorta is a viable treatment option for the management of complicated descending thoracic aortic dissections. Careful patient selection is necessary as medical therapy successfully treats the majority of uncomplicated Type B dissections. TEVAR should be reserved for patients with complicated Type B dissections or those who fail nonoperative management. Close postoperative monitoring is necessary when TEVAR is performed and should be accompanied by lifelong surveillance. A high level of suspicion is important to identify retrograde Type A dissections in these patients given its rarity and the ambiguity of its clinical presentation.

Keywords

aortic dissection - endograft placement - endograft repair - percutaneous - risk factors - stent
 

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