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Two Cases of Endovascular Repair with the Stent Graft for Retrograde Type A Acute Aortic Dissection with Complications
Thoracic endovascular aortic repair (TEVAR) is used to treat retrograde type A acute aortic dissection (RTAAD). In case 1, a 52-year-old man, who was conservatively managed, reported worsening back pain. Emergency TEVAR was performed 7 days after onset. After deploying two GORE Conformable TAG (CTAG...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823173/ https://www.ncbi.nlm.nih.gov/pubmed/29503377 http://dx.doi.org/10.5761/atcs.cr.17-00200 |
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author | Masuda, Takahiko Hata, Masaki Yamaya, Kazuhiro Suzuki, Tomoyuki Terao, Naoya |
author_facet | Masuda, Takahiko Hata, Masaki Yamaya, Kazuhiro Suzuki, Tomoyuki Terao, Naoya |
author_sort | Masuda, Takahiko |
collection | PubMed |
description | Thoracic endovascular aortic repair (TEVAR) is used to treat retrograde type A acute aortic dissection (RTAAD). In case 1, a 52-year-old man, who was conservatively managed, reported worsening back pain. Emergency TEVAR was performed 7 days after onset. After deploying two GORE Conformable TAG (CTAG) in the descending aorta, his symptoms disappeared. In case 2, a 52-year-old man with progressive worsening resistant hypertension, renal dysfunction, and respiratory failure despite maximal medical therapy underwent TEVAR 8 days after onset. A CTAG was deployed from the left subclavian artery under rapid pacing, and two Zenith Dissection stents were placed, which resolved complications. In both cases, after 6 months, computed tomography (CT) scan showed complete resorption of the false lumen in the ascending aorta. TEVAR for RTAAD with complete thrombosis of false lumen in the ascending aorta can be an alternative to surgery when the primary tear is located in descending aorta. |
format | Online Article Text |
id | pubmed-6823173 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-68231732019-11-04 Two Cases of Endovascular Repair with the Stent Graft for Retrograde Type A Acute Aortic Dissection with Complications Masuda, Takahiko Hata, Masaki Yamaya, Kazuhiro Suzuki, Tomoyuki Terao, Naoya Ann Thorac Cardiovasc Surg Case Report Thoracic endovascular aortic repair (TEVAR) is used to treat retrograde type A acute aortic dissection (RTAAD). In case 1, a 52-year-old man, who was conservatively managed, reported worsening back pain. Emergency TEVAR was performed 7 days after onset. After deploying two GORE Conformable TAG (CTAG) in the descending aorta, his symptoms disappeared. In case 2, a 52-year-old man with progressive worsening resistant hypertension, renal dysfunction, and respiratory failure despite maximal medical therapy underwent TEVAR 8 days after onset. A CTAG was deployed from the left subclavian artery under rapid pacing, and two Zenith Dissection stents were placed, which resolved complications. In both cases, after 6 months, computed tomography (CT) scan showed complete resorption of the false lumen in the ascending aorta. TEVAR for RTAAD with complete thrombosis of false lumen in the ascending aorta can be an alternative to surgery when the primary tear is located in descending aorta. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2018-03-03 2019 /pmc/articles/PMC6823173/ /pubmed/29503377 http://dx.doi.org/10.5761/atcs.cr.17-00200 Text en ©2019 Annals of Thoracic and Cardiovascular Surgery http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NonDerivatives International License (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Report Masuda, Takahiko Hata, Masaki Yamaya, Kazuhiro Suzuki, Tomoyuki Terao, Naoya Two Cases of Endovascular Repair with the Stent Graft for Retrograde Type A Acute Aortic Dissection with Complications |
title | Two Cases of Endovascular Repair with the Stent Graft for Retrograde Type A Acute Aortic Dissection with Complications |
title_full | Two Cases of Endovascular Repair with the Stent Graft for Retrograde Type A Acute Aortic Dissection with Complications |
title_fullStr | Two Cases of Endovascular Repair with the Stent Graft for Retrograde Type A Acute Aortic Dissection with Complications |
title_full_unstemmed | Two Cases of Endovascular Repair with the Stent Graft for Retrograde Type A Acute Aortic Dissection with Complications |
title_short | Two Cases of Endovascular Repair with the Stent Graft for Retrograde Type A Acute Aortic Dissection with Complications |
title_sort | two cases of endovascular repair with the stent graft for retrograde type a acute aortic dissection with complications |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823173/ https://www.ncbi.nlm.nih.gov/pubmed/29503377 http://dx.doi.org/10.5761/atcs.cr.17-00200 |
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