title: Retrograde type A dissection after endovascular repair of a "zone 0" nondissecting aortic arch aneurysm.
abstract: Retrograde type A dissection (RTAD) is not so uncommon after thoracic endovascular aortic repair of type B dissections, especially in the presence of connective tissue disorders. Risk of RTAD after thoracic endovascular aortic repair of nondissecting aneurysms has still to be clarified, mainly if proximal arch involvement requires hybrid repair with ascending aortic side clamping, supra-aortic trunks proximal re-routing and endograft landing in ascending aorta. We report a mid-term RTAD after hybrid repair of a proximal arch nondissecting aneurysm without connective tissue disorders. The technique for ascending aortic replacement without arch endograft removal and literature review about this poorly known complication are presented.
authors.affiliation: Department of Vascular Surgery, IRCCS H. San Raffaele, Via Olgettina, 60 20132 Milan, Italy. y.tshomba@hsr.it
authors.forename: Yamume
authors.initials: Y
authors.lastname: Tshomba
authors.forename: Luca
authors.initials: L
authors.lastname: Bertoglio
authors.forename: Enrico Maria
authors.initials: EM
authors.lastname: Marone
authors.forename: Davide
authors.initials: D
authors.lastname: Logaldo
authors.forename: Francesco
authors.initials: F
authors.lastname: Maisano
authors.forename: Roberto
authors.initials: R
authors.lastname: Chiesa
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D012086:Reoperation; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011093:Polyethylene Terephthalates