Key result
Endovascular repair of ruptured type B dissection precedes delayed retrograde type A dissection requiring surgery.
Why the study?
Endovascular repair of acute ruptured aorta may be associated with potentially lethal delayed complications requiring close monitoring and prompt treatment.
Case Report (n=1)
Endovascular repair of acute ruptured aorta can be associated with potentially lethal complications like retrograde type A dissection, requiring close monitoring.
May warrant heightened post-TEVAR surveillance for delayed retrograde type A dissection; single case leaves open incidence, predictors, and prevention strategies.
We report a case of a delayed retrograde dissection occurred after endovascular repair of ruptured type B aortic dissection. A 75-year-old male, presented with acute hemothorax and aortic arch fissuration. He was successfully treated with descending aorta and aortic arch stenting. After six days, he developed retrograde type A dissection with aortic root involvement and aortic valve incompetence. The entire ascending aorta and the ventral part of the arch were successfully replaced by a composite graft; in addition, aortic valve was replaced with prosthesis. Patient had an uncomplicated course and radiologic follow-up at one month revealed a sealed fissuration and no signs of endoleak. Endovascular repair of acute ruptured aorta, although life saving may be associated with potentially lethal complications, and it requires close monitoring with prolonged hospital stay to recognize and treat promptly these fatal complications.
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Tiwari et al. (2010) conducted a case report in Ruptured type B aortic dissection (n=1). Endovascular aortic repair (EVAR) was evaluated on Retrograde type A dissection. Endovascular repair of a ruptured type B aortic dissection was complicated by a delayed retrograde type A dissection six days post-procedure in a 55-year-old male, requiring surgical intervention.
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