title: Stent graft-induced new entry tear after endoluminal grafting for aortic dissection repaired with open interposition graft.
abstract: Thoracic endovascular aortic repair is a successful treatment strategy for type B aortic dissections, with low morbidity and mortality compared with the gold standard of open repair. Questions still remain regarding its long-term durability and complication rate. There is a growing awareness of new entry tears induced by the stent graft, a potentially lethal complication. We report the case of a 74-year-old woman with a complicated retrograde type A aortic dissection treated with endovascular stent graft coverage. She required open surgical conversion after she developed a symptomatic, new entry tear induced by the stent graft.
authors.affiliation: Department of Vascular Surgery, Washington Hospital Center, Washington, DC. Electronic address: wadicure@gmail.com.
authors.forename: Wadi
authors.initials: W
authors.lastname: Gomero-Cure
authors.forename: Robert C
authors.initials: RC
authors.lastname: Lowery
authors.forename: Sean
authors.initials: S
authors.lastname: O'Donnell
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017548:Echocardiography, Transesophageal; D057510:Endovascular Procedures / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional