title: Treatment of type-A aortic dissection using endoprosthesis occurring after coronary artery bypass surgery.
abstract: Type-A aortic dissection is a rare and often fatal complication following coronary artery bypass surgery (CABG). Corrective surgery seldom improves patient outcome. This report reviews and discusses endoprosthetic correction of type-A aortic dissection. A case of a transluminal correction of acute type-A aortic dissection one year after CABG in a 66-year-old male with a history of ischemic and severely compromised left ventricular function is presented. A prosthesis originally designed for the abdominal aorta was successfully used. Regular follow-up was performed and nearly 3 years post prosthesis implantation the patient is stable in New York Heart Association class II. To the authors' knowledge there are no other literature reports of endoprosthetic correction of a type-A aortic dissection in the context of CABG with saphenous grafts.
authors.affiliation: University of Porto and Cardiovascular Interventional Unit, Department of Cardiology, Centro Hospitalar de Gaia, Portugal. gpmorais@gmail.com
authors.forename: Gustavo
authors.initials: G
authors.lastname: Pires de Morais
authors.forename: Alberto
authors.initials: A
authors.lastname: Rodrigues
authors.forename: Vasco
authors.initials: V
authors.lastname: Gama
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D057510:Endovascular Procedures / Q000295:instrumentation*; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography; D011474:Prosthesis Design; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome