title: Endovascular repair for retrograde type A aortic dissection with malperfusion.
abstract: An 81-year-old man became semiconscious and suffered back pain followed by chest pain. Computed tomography showed retrograde acute type A aortic dissection with entries in the proximal and middle descending aorta, and an occluded true lumen of the right carotid artery. Emergency endovascular repair was performed. Immediately after deploying a stent-graft, aortography showed recanalization of the right carotid artery and no blood flow in the false lumen of the ascending aorta and aortic arch. The postoperative course was uneventful. Computed tomography at 6 months after the procedure showed obliteration of the false lumen and a patent right carotid artery.
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan shiny@mte.biglobe.ne.jp.
authors.forename: Shinya
authors.initials: S
authors.lastname: Takahashi
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Keijiro
authors.initials: K
authors.lastname: Katayama
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Taiichi
authors.initials: T
authors.lastname: Takasaki
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Taijiro
authors.initials: T
authors.lastname: Sueda
mesh_terms: D000208:Acute Disease; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D016893:Carotid Stenosis / Q000209:etiology / Q000503:physiopathology; D004630:Emergencies; D057510:Endovascular Procedures / Q000295:instrumentation; D006439:Hemodynamics; D006801:Humans; D008297:Male; D012039:Regional Blood Flow; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: 80 and over; Aged; Aneurysm; Aortic aneurysm; Blood vessel prosthesis implantation; Carotid arteries; Endovascular procedures; dissecting; thoracic