title: Retrograde Type A Aortic Dissection Treated with Continuous Perfusion "Branch-First" Aortic Arch Replacement Technique.
abstract: The development of thoracic endovascular aortic repair in recent years has revolutionised the way aortic disease is treated. However, there are potential complications associated with this which can be life threatening and pose a difficult challenge to manage. We present a case of retrograde ascending aortic dissection complicating thoracic endovascular aortic repair, and its repair using a technique of continuous perfusion "branch-first" aortic arch replacement. We discuss the complication of retrograde ascending aortic dissection and the issues that affect its surgical management.
authors.affiliation: Department of Cardiothoracic Surgery, Barwon Health, Geelong, Vic, Australia. Electronic address: louiserobertson101@gmail.com.
authors.forename: Louise C
authors.initials: LC
authors.lastname: Robertson
authors.affiliation: Geelong Vascular Unit, Barwon Health, Geelong, Vic, Australia.
authors.forename: Damien
authors.initials: D
authors.lastname: Holdaway
authors.affiliation: Department of Cardiothoracic Surgery, Barwon Health, Geelong, Vic, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Vic, Australia.
authors.forename: Cheng-Hon
authors.initials: CH
authors.lastname: Yap
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008875:Middle Aged
keywords: Endograft; Graft; Retrograde dissection; TEVAR; Thoracic stent-graft