Conservative management of delayed retrograde type A aortic dissection after successful hybrid endovascular repair of distal arch aneurysm.

Abstract

Retrograde Type A aortic dissection following successful endovascular treatment of thoracic aortic disease is not uncommon. We report a case where the primary pathology was distal aortic arch aneurysm without dissection, and the retrograde type A dissection occurred four months after successful hybrid endovascular management with right to left carotid bypass and stent-graft with a Cook Zenith device. As the patient was not medically fit for sternotomy and repair of Type A aortic dissection, progress was monitored with serial CT scans. This case demonstrates that delayed retrograde type A dissection can occur even in cases when there was no previous aortic dissection, and that in selective patients who are poor candidates for major aortic surgery, a conservative approach can be adopted.

• Authors: W H She, Y C Chan, A C Ting, S W Cheng
• Journal: Acta chirurgica Belgica (Acta Chir Belg) 2010 Mar-Apr Vol. 110 Issue 2 Pg. 240-2 ISSN: 0001-5458 [Print] England
• PMID: 20514845 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Aortic Dissection (therapy)
• Aortic Aneurysm, Thoracic (surgery, therapy)
• Carotid Arteries (surgery)
• Female
• Humans
• Postoperative Complications
• Stents