title: Type B aortic dissection after standard endovascular repair of abdominal aortic aneurysm.
abstract: Dissection of the aorta is a rare yet potentially serious complication following endovascular abdominal aortic aneurysm (EVAR). These can lead to visceral branch hypoperfusion, compromise of aneurysm exclusion, arterial dilation or rupture. Intimal injury and dissection in the context of EVAR may be associated with a number of risk factors that include adverse infrarenal neck morphology, device oversizing, barbed fixation and wire manipulation in the proximal aorta. Herein, we describe three cases of type B aortic dissection following EVAR and discuss possible causes. As the applicability of endovascular technology widens, clinicians are reminded of the importance of early recognition and detection of unusual sequelae following EVAR.
authors.affiliation: Department of Academic Surgery, University Hospital of South Manchester, Manchester, UK.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Khanbhai
authors.forename: Jonathan
authors.initials: J
authors.lastname: Ghosh
authors.forename: Raymond
authors.initials: R
authors.lastname: Ashleigh
authors.forename: Mohammed
authors.initials: M
authors.lastname: Baguneid
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000209:etiology*; D001012:Aorta, Abdominal / Q000473:pathology / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000473:pathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D057510:Endovascular Procedures / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012307:Risk Factors; D015607:Stents / Q000009:adverse effects