Delayed Type A Aortic Dissection Following Complete Debranching of the Aortic Arch and Stent Graft Placement
- 1 January 2016
- journal article
- case report
- Published by Houston Methodist DeBakey Heart & Vascular Center in Methodist DeBakey Cardiovascular J
- Vol. 12 (1), 45-7
- https://doi.org/10.14797/mdcj-12-1-45
Abstract
Treatment options for aortic arch disease in high-risk patients includes supra-aortic debranching and thoracic endovascular aortic repair (TEVAR). Acute ascending aortic dissection is a concerning complication of this approach and has been reported to occur in a retrograde fashion. We report a case of a 60-year-old gentleman who had undergone thoracic endovascular aortic repair with debranching and presented 31 months later with acute isolated ascending aortic dissection. The patient underwent successful total replacement of the ascending aorta with a 30-mm gelwave Valsalva™ graft using cardiopulmonary bypass.Keywords
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