title: Treatment of delayed retrograde dissection after endovascular stenting of thoracoabdominal aortic aneurysm: graft-to-endograft anastomosis.
abstract: 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.
authors.affiliation: Acibadem University, School of Medicine, Department of Cardiovascular Surgery, Istanbul, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Karabulut
authors.forename: Sahin
authors.initials: S
authors.lastname: Senay
authors.forename: Fevzi
authors.initials: F
authors.lastname: Toraman
authors.forename: Cem
authors.initials: C
authors.lastname: Alhan
mesh_terms: 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