title: [Repair of Type A Aortic Dissection after Thoracic Endovascular Aortic Repair with Open Stent Graft；Report of a Case].
abstract: We repot a case of type A aortic dissection after thoracic endovascular aortic repair (TEVAR) for type B aortic dissection. A 70-year-old man underwent TEVAR for type B aortic dissection. Seven months after TEVAR, follow-up computed tomography revealed type A aortic dissection. We urgently performed total arch replacement with open stent graft. Although TEVAR is currently recommended as the 1st-line treatment for complicated type B aortic dissection with malperfusion or dilatation, retrograde type A aortic dissection might occur as a rare but life-threatening complication. Fragility of the aortic wall and disease progression combined with stent grafting-related injury contribute to its occurrence. Open stent graft technique is useful in such a case.
authors.affiliation: Department of Cardiovascular Surgery, Uji Tokushukai Hospital, Uji, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kawakami
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: Tatsunori
authors.initials: T
authors.lastname: Tsuji
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D015607:Stents