Key result
Surgical treatment with appropriate intraoperative anesthetic and perfusion management resulted in a favorable outcome in a patient with ascending aortic dissection after previous TEVAR.
Why the study?
Proximal stent-graft induced new entry is a rather rare complication of thoracic endovascular aortic repair.
Case Report (n=1)
Surgical treatment with adequate anesthetic and perfusion management can yield favorable outcomes in high-risk patients with ascending aortic dissection following TEVAR and proximal stent-graft induced new entry.
Supports feasibility of surgery in select high-risk post-TEVAR aortic dissection; hypothesis-generating and should not change practice.
Proximal stent-graft induced new entry is a rather rare complication of thoracic endovascular aortic repair. The authors describe surgical treatment of ascending aortic dissection after previous thoracic endovascular aortic repair and proximal stent-graft induced new entry with aortic wall rupture. Appropriate surgical experience together with adequate intraoperative anesthetic and perfusion management ensured favorable treatment outcome in a patient with high risk of perioperative complications.
No takes yet. Share an insight, caveat, or question.
Lysenko et al. (2024) conducted a case report in Ascending aortic dissection after previous thoracic endovascular aortic repair and proximal stent-graft induced new entry (n=1). Surgical treatment was evaluated on Treatment outcome. Surgical treatment with appropriate intraoperative anesthetic and perfusion management resulted in a favorable outcome in a patient with ascending aortic dissection after previous TEVAR.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: