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Bentall procedure for retrograde type A dissection after endovascular repair in type A aortic dissection: A case report
RATIONALE: The management of retrograde type A dissection (RTAD) after thoracic endovascular aortic repair (TEVAR) for type A aortic dissection (TAAD) has rarely been reported. We report the management of RTAD after TEVAR with in situ fenestration for TAAD. PATIENT CONCERNS: A 59-year-old man with T...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351882/ https://www.ncbi.nlm.nih.gov/pubmed/35945792 http://dx.doi.org/10.1097/MD.0000000000029615 |
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author | Ma, Li Liu, Long Yan, Sheng Yan, Jun |
author_facet | Ma, Li Liu, Long Yan, Sheng Yan, Jun |
author_sort | Ma, Li |
collection | PubMed |
description | RATIONALE: The management of retrograde type A dissection (RTAD) after thoracic endovascular aortic repair (TEVAR) for type A aortic dissection (TAAD) has rarely been reported. We report the management of RTAD after TEVAR with in situ fenestration for TAAD. PATIENT CONCERNS: A 59-year-old man with TAAD had undergone TEVAR with in situ fenestration 4 months prior to presenting to our emergency room complaining of acute chest and back pain. Computed tomography angiography showed RTAD starting from the proximal endograft and extending to the aortic root. DIAGNOSIS: The patient was diagnosed with RTAD. INTERVENTIONS: We performed only the Bentall procedure, and the patient did not require total arch replacement. We removed the bare spring of the proximal endograft and anastomosed the prosthetic graft with the endograft and the native ascending aortic wall. OUTCOMES: The postoperative course was uneventful, and the patient remained asymptomatic for 3 years after surgery. Computed tomography angiography at the 3-year follow-up showed no perivalvular or anastomotic leakage. LESSONS: RTAD after TEVAR for TAAD was safely and effectively treated by anastomosing the prosthetic graft with the endograft and the native ascending aortic wall instead of total arch replacement. |
format | Online Article Text |
id | pubmed-9351882 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-93518822022-08-05 Bentall procedure for retrograde type A dissection after endovascular repair in type A aortic dissection: A case report Ma, Li Liu, Long Yan, Sheng Yan, Jun Medicine (Baltimore) Research Article RATIONALE: The management of retrograde type A dissection (RTAD) after thoracic endovascular aortic repair (TEVAR) for type A aortic dissection (TAAD) has rarely been reported. We report the management of RTAD after TEVAR with in situ fenestration for TAAD. PATIENT CONCERNS: A 59-year-old man with TAAD had undergone TEVAR with in situ fenestration 4 months prior to presenting to our emergency room complaining of acute chest and back pain. Computed tomography angiography showed RTAD starting from the proximal endograft and extending to the aortic root. DIAGNOSIS: The patient was diagnosed with RTAD. INTERVENTIONS: We performed only the Bentall procedure, and the patient did not require total arch replacement. We removed the bare spring of the proximal endograft and anastomosed the prosthetic graft with the endograft and the native ascending aortic wall. OUTCOMES: The postoperative course was uneventful, and the patient remained asymptomatic for 3 years after surgery. Computed tomography angiography at the 3-year follow-up showed no perivalvular or anastomotic leakage. LESSONS: RTAD after TEVAR for TAAD was safely and effectively treated by anastomosing the prosthetic graft with the endograft and the native ascending aortic wall instead of total arch replacement. Lippincott Williams & Wilkins 2022-08-05 /pmc/articles/PMC9351882/ /pubmed/35945792 http://dx.doi.org/10.1097/MD.0000000000029615 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Ma, Li Liu, Long Yan, Sheng Yan, Jun Bentall procedure for retrograde type A dissection after endovascular repair in type A aortic dissection: A case report |
title | Bentall procedure for retrograde type A dissection after endovascular repair in type A aortic dissection: A case report |
title_full | Bentall procedure for retrograde type A dissection after endovascular repair in type A aortic dissection: A case report |
title_fullStr | Bentall procedure for retrograde type A dissection after endovascular repair in type A aortic dissection: A case report |
title_full_unstemmed | Bentall procedure for retrograde type A dissection after endovascular repair in type A aortic dissection: A case report |
title_short | Bentall procedure for retrograde type A dissection after endovascular repair in type A aortic dissection: A case report |
title_sort | bentall procedure for retrograde type a dissection after endovascular repair in type a aortic dissection: a case report |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351882/ https://www.ncbi.nlm.nih.gov/pubmed/35945792 http://dx.doi.org/10.1097/MD.0000000000029615 |
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