Why the study?
Retrograde ascending aortic dissection is a catastrophic complication of thoracic endovascular aortic repair.
Surgical replacement of the ascending aorta and hemiarch can be safely performed for retrograde ascending aortic dissection, a catastrophic complication of TEVAR.
Retrograde ascending aortic dissection (rAAD) is a catastrophic complication of thoracic endovascular aortic repair (TEVAR). A 56 year-old male patient who had undergone TEVAR for Stanford type B aortic dissection 6-month ago was admitted to our clinic with uncontrolled hypertension for the last twelve hours and history of a syncopal attack three days ago. Retrograde ascending aortic dissection was detected in computed tomography angiography. Ascending aorta and hemiarch replacement with a Dacron graft was safely performed via hypothermic circulatory arrest and antegrade cerebral perfusion for the treatment of rAAD after TEVAR.
No takes yet. Share an insight, caveat, or question.
Erkul et al. (2020) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: