Iatrogenic type A dissection after attempted stenting of a descending aortic aneurysm.
This case demonstrates an iatrogenic acute retrograde type A dissection of the aortic arch and ascending aorta during elective endovascular stenting of a proximal descending aortic aneurysm. This devastating complication necessitated emergent surgery with unfavorable postoperative outcome. Other than the known causes, the described retrograde type A dissection resulted from guidewire manipulation and iatrogenic creation of a false lumen, which was erroneously dilated and stented.
Zhang
Ruoyu
R
Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany. zhang.ruoyu@mh-hannover.de
Kofidis
Theo
T
Baus
Stefan
S
Klima
Uwe
U
D000368:Aged; D000784:Aortic Dissection / Q000209:etiology* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D013504:Cardiovascular Surgical Procedures; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D015607:Stents / Q000009:adverse effects