Treatment of delayed retrograde dissection after endovascular stenting of thoracoabdominal aortic aneurysm: graft-to-endograft anastomosis.
BACKGROUND
Endovascular treatment of thoracic aortic aneurysms may be associated with procedure-related early and late complications.


METHODS
We describe the case of a 70-year-old man who developed acute retrograde dissection of the ascending aorta 30 days after endovascular stent grafting of a thoracoabdominal aortic aneurysm and prior revascularization of the left subclavian artery. The ascending aorta and aortic arch were successfully replaced with a Dacron graft; the distal part of the graft was partially anastomosed to the previously placed endograft.


CONCLUSIONS
Surgical repair of dissections following a thoracic endovascular procedure is reliable with a graft-to-endograft anastomosis when native aortic tissue is not suitable.
Karabulut
Hasan
H
Acibadem University, School of Medicine, Department of Cardiovascular Surgery, Istanbul, Turkey.
Senay
Sahin
S
Toraman
Fevzi
F
Alhan
Cem
C
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D000784:Aortic Dissection / Q000209:etiology* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome