Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm

We discuss a rare case of acute Type A thoracic aortic dissection (TAAD) following endovascular aneurysm repair (EVAR) of a common iliac artery aneurysm, which likely resulted from complications due to aberrant anatomy. Valve replacement, ascending aortic arch graft, and entry tear suture repair wer...

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Detalles Bibliográficos
Autores principales: Wolfers, Matthew P, Yu, Qian, Montorfano, Lisandro, Bordes, Stephen J, King, Terry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8054837/
https://www.ncbi.nlm.nih.gov/pubmed/33884232
http://dx.doi.org/10.7759/cureus.13971
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author Wolfers, Matthew P
Yu, Qian
Montorfano, Lisandro
Bordes, Stephen J
King, Terry
author_facet Wolfers, Matthew P
Yu, Qian
Montorfano, Lisandro
Bordes, Stephen J
King, Terry
author_sort Wolfers, Matthew P
collection PubMed
description We discuss a rare case of acute Type A thoracic aortic dissection (TAAD) following endovascular aneurysm repair (EVAR) of a common iliac artery aneurysm, which likely resulted from complications due to aberrant anatomy. Valve replacement, ascending aortic arch graft, and entry tear suture repair were necessary to contain the TAAD. Postoperative computed tomography with angiography (CTA) demonstrated stable disease, and the patient remained asymptomatic. Open and endovascular repair of the descending abdominal aorta was avoided. Few cases in the literature report TAAD following EVAR. Detection and repair of the entry site was crucial for containing the TAAD.
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spelling pubmed-80548372021-04-20 Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm Wolfers, Matthew P Yu, Qian Montorfano, Lisandro Bordes, Stephen J King, Terry Cureus Cardiac/Thoracic/Vascular Surgery We discuss a rare case of acute Type A thoracic aortic dissection (TAAD) following endovascular aneurysm repair (EVAR) of a common iliac artery aneurysm, which likely resulted from complications due to aberrant anatomy. Valve replacement, ascending aortic arch graft, and entry tear suture repair were necessary to contain the TAAD. Postoperative computed tomography with angiography (CTA) demonstrated stable disease, and the patient remained asymptomatic. Open and endovascular repair of the descending abdominal aorta was avoided. Few cases in the literature report TAAD following EVAR. Detection and repair of the entry site was crucial for containing the TAAD. Cureus 2021-03-18 /pmc/articles/PMC8054837/ /pubmed/33884232 http://dx.doi.org/10.7759/cureus.13971 Text en Copyright © 2021, Wolfers et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Wolfers, Matthew P
Yu, Qian
Montorfano, Lisandro
Bordes, Stephen J
King, Terry
Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm
title Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm
title_full Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm
title_fullStr Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm
title_full_unstemmed Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm
title_short Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm
title_sort type a thoracic aortic dissection following endovascular repair of a common iliac artery aneurysm
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8054837/
https://www.ncbi.nlm.nih.gov/pubmed/33884232
http://dx.doi.org/10.7759/cureus.13971
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