title: [Endovascular Repair for Acute Phase of Retrograde Type A Aortic Dissection with an Entry in the Descending Aorta].
abstract: OBJECTIVE
  Endovascular repair for retrograde type A aortic dissection with an entry in the descending aorta (RAAD) is challenging. We present early and mid- term results of endovascular repair for acute phase of RAAD by using commercially-available device.
  
  
  METHODS
  From April 2012 to June 2014, 10 consecutive patients with acute phase of RAAD underwent endovascular repair in our hospital. Of them, 9 patients had emergency surgery within 24 hours after the onset. The other one patient had urgent surgery 3 days after the onset. In all patients, the entry tear was covered with TAG or conformable TAG.
  
  
  RESULTS
  Technical success was achieved in all patients. No in-hospital mortality was experienced. In all patients, follow-up computed tomography images showed significant remodeling in the ascending aorta 3 months after surgery. During a median follow-up period of 19.5 months, no patients died and no re-intervention occurred.
  
  
  CONCLUSIONS
  In patients with acute phase of RAAD, endovascular repair with commercially-available device can be safely performed and it provides sufficient remodeling in the ascending aorta early after surgery. This technique is an alternative to open repair in these patients.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Aoki
authors.forename: Takeshi
authors.initials: T
authors.lastname: Okamoto
authors.forename: Hiroki
authors.initials: H
authors.lastname: Sato
authors.forename: Osamu
authors.initials: O
authors.lastname: Namura
authors.forename: Ryo
authors.initials: R
authors.lastname: Onishi
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Hanzawa
authors.forename: Masanori
authors.initials: M
authors.lastname: Tsuchida
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome