title: Complex endovascular repair of a large dissection of the ascending aorta in a 70-year-old man.
abstract: We report the case of a 70-year-old man who presented with a large dissection of the ascending aorta related to coronary artery bypass grafting 3 years earlier. One graft was patent; however, a reverse venous graft to the right coronary artery was occluded, and that artery was substantially stenotic. The patient was a high-risk surgical candidate, so we treated a large dissection successfully by endovascular means with a thoracic endograft. This case suggests that this approach can be applied safely and effectively to other high-surgical-risk patients who have complex ascending aortic disease.
authors.affiliation: Department of Cardiology, Texas Heart Institute at St Luke's Episcopal Hospital, Houston, Texas 77030, USA.
authors.forename: Bahaeddin
authors.initials: B
authors.lastname: Shabaneh
authors.forename: Igor D
authors.initials: ID
authors.lastname: Gregoric
authors.forename: Pranav
authors.initials: P
authors.lastname: Loyalka
authors.forename: Zvonimir
authors.initials: Z
authors.lastname: Krajcer
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / 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; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Anastomosis, surgical/adverse effects; aneurysm, false/therapy; aortic aneurysm, thoracic; blood vessel prosthesis implantation; endovascular procedures/instrumentation; risk factors; stents; treatment outcome