title: Repair of Late Retrograde Type A Aortic Dissection After TEVAR: Causes and Management.
abstract: One of the most feared complications of thoracic endovascular aortic repair (TEVAR) and hybrid arch repair is retrograde type A aortic dissection (RTAD). More than two-thirds of RTAD occurs in the immediate postoperative period and first postoperative month. In presentations beyond that point, progression of the native aortopathy must be considered. We report a late presentation of an RTAD seven months after hybrid repair of an aortic intramural hematoma with an ulcer-like projection, and review the causes and management of this TEVAR complication.
authors.affiliation: Department of Cardiac Surgery, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
authors.forename: Victor X
authors.initials: VX
authors.lastname: Mosquera
authors.affiliation: Department of Radiology, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
authors.forename: Milagros
authors.initials: M
authors.lastname: Marini
authors.affiliation: Department of Radiology, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
authors.forename: Daniel
authors.initials: D
authors.lastname: Fraga-Manteiga
authors.affiliation: Department of Radiology, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
authors.forename: Daniel
authors.initials: D
authors.lastname: Gulias
authors.affiliation: Department of Cardiac Surgery, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
authors.forename: Jose J
authors.initials: JJ
authors.lastname: Cuenca
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D001014:Aortic Aneurysm / Q000209:etiology* / Q000601:surgery; D018450:Disease Progression; D057510:Endovascular Procedures; D005260:Female; D006406:Hematoma / Q000601:surgery*; D006801:Humans; D061330:Multidetector Computed Tomography; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011184:Postoperative Period; D013997:Time Factors