Key result
Thoracic endovascular aortic repair successfully treated an acute Type B aortic dissection, but the patient developed a recurrent abdominal aortic dissection requiring a second emergency stent grafting.
Case Report (n=1)
This case report highlights the importance of monitoring for early recurrent aortic dissection following TEVAR for Stanford Type B dissection.
Recurrent dissection risk after TEVAR warrants close surveillance; single case leaves open incidence and optimal protocols.
Acute aortic dissection remains the most common aortic catastrophe currently. It is significant to be on the alert for the recurrent aortic dissection. A 62-yearold woman with hypertension was admitted to the Emergency department with sudden intense back pain, profuse sweating and with the feeling of impending death for 3 hours. The surgeon of Peking University Shougang hospital conducted TEVAR in the first day after hospitalization and the back pain had lessened after the surgeon. The fourth day after hospitalization, the patient had Intermittent back pain. The recurrent dissection entry was found on the bottom of the thoracic artery stent-graft. The surgeon of Peking University Shougang hospital conducted the endovascular covered stent-graft repair of the abdominal aorta.
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Zhao et al. (2018) conducted a case report in Acute Stanford Type B thoracic dissection (n=1). Thoracic Endovascular Aortic Repair (TEVAR) and subsequent abdominal stent grafting was evaluated on Clinical outcome of recurrent dissection repair. Thoracic endovascular aortic repair successfully treated an acute Type B aortic dissection, but the patient developed a recurrent abdominal aortic dissection requiring a second emergency stent grafting.
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