title: Complex Iatrogenic Dissection Complicating Thoracic Endovascular Aneurysm Repair.
abstract: BACKGROUND
  To report one the most feared complication of thoracic endovascular aneurysm repair (TEVAR); a retrograde aortic dissection who can involve the aortic arch or ascending aorta, which require commonly coextensive open surgical repair.
  
  
  METHODS
  We report 2 cases of combined retrograde and antegrade dissection after endovascular treatment of an aneurysm of the descending aorta. In both cases, a dissection was identified at short-term follow-up; which required open surgical repair in one case and an additional endovascular treatment for the second case.
  
  
  CONCLUSIONS
  The incidence of extensive iatrogenic dissection after TEVAR is relatively low, open repair should be considered as a primary option in some cases with limited aortic dilatation to avoid such life-threatening complications.
authors: Cardiovascular Surgery Unit, Cardio Thoracic Center of Monaco, Monaco, France.
authors: Bilel
authors: B
authors: Derbel
authors: Cardiovascular Surgery Unit, Cardio Thoracic Center of Monaco, Monaco, France. Electronic address: cmialhe@ccm.mc.
authors: Claude
authors: C
authors: Mialhe
authors: Department of Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands.
authors: Jip L
authors: JL
authors: Tolenaar
authors: Cardiovascular Surgery Unit, Cardio Thoracic Center of Monaco, Monaco, France.
authors: Gilles
authors: G
authors: Dreyfus
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D015607:Stents