Iatrogenic iliac artery rupture and type a dissection after endovascular repair of type B aortic dissection.
We report a case of two iatrogenic complications after endovascular repair of a type B aortic dissection treated for abdominal aortic branch ischemia. A rupture of the common iliac artery occurred first during the procedure. A type A dissection occurred 12 days later. The proximal part of the aortic endovascular graft had created a tear in the aortic wall resulting in a retrograde type A dissection. Although aortic endovascular grafting is apparently associated with less morbidity and mortality, potentially lethal complications, both acute and delayed, may arise.
Modine
Thomas
T
Chirurgie Vasculaire, Hôpital Cardiologique, Lille, France.
Lions
Christophe
C
Destrieux-Garnier
Laurence
L
Haulon
Stephan
S
Decoene
Christophe
C
Beregi
Jean Paul
JP
Koussa
Mohamed
M
D000784:Aortic Dissection / Q000145:classification / Q000209:etiology* / Q000601:surgery*; D017130:Angioplasty; D001014:Aortic Aneurysm / Q000145:classification / Q000601:surgery*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000293:injuries*; D007431:Intraoperative Complications / Q000209:etiology*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012421:Rupture; D013997:Time Factors