Key result
A redo Bentall procedure successfully treated a male patient presenting with late retrograde aortic dissection 3 years after hybrid thoracic endovascular aortic repair.
Why the study?
Hybrid aortic arch repair is used as a less invasive alternative to open total arch replacement for aortic arch aneurysms, but studies have revealed high rates of reintervention and reoperation.
Case Report (n=1)
This case highlights the risk of late retrograde aortic dissection following hybrid TEVAR and demonstrates successful management with a redo Bentall procedure.
Hybrid arch repair may require lifelong surveillance for late complications; this case leaves open durability versus open repair.
Open total arch replacement is allied to high rates of mortality and morbidity; surgeons, therefore, tend to choose hybrid aortic arch repair as a less invasive operative procedure for the treatment of aortic arch aneurysms, especially in high-risk patients. However, studies on the early and late outcomes of patients undergoing hybrid aortic arch repair have revealed high rates of reintervention and reoperation compared with open total arch replacement. Here, we describe a male patient with late retrograde aortic dissection after hybrid thoracic endovascular aortic repair for aortic arch aneurysms. The patient returned 3 years after the procedure with signs of dyspnea on exertion and chest pain. Transthoracic echocardiography and computed tomography showed dissection of the ascending aorta, for which he underwent a redo Bentall procedure. The patient was weaned from cardiopulmonary bypass without any problem and discharged after 7 days.
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Boroumand et al. (2021) conducted a case report in Late retrograde aortic dissection after hybrid TEVAR (n=1). Redo Bentall procedure was evaluated on Successful weaning from cardiopulmonary bypass and discharge. A redo Bentall procedure successfully treated a male patient presenting with late retrograde aortic dissection 3 years after hybrid thoracic endovascular aortic repair.
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