Case report of a hybrid endovascular approach to an abdominal aortic dissection with retrograde thoracic extension and infrarenal aneurysm

Michael Campbell, Edmond J. Raker, Ellen Farrokhi

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Spontaneous abdominal aortic dissection (AAD) with retrograde thoracic extension is an extremely rare occurrence with a high mortality. Abdominal aortic dissection can be associated with an abdominal aortic aneurysm (AAA) and the presence of an AAD with an AAA mandates surgical intervention because of a high rate of rupture. We present the case of a 53-year-old woman with a spontaneous AAD that extended retrograde into the thoracic aorta with a concomitant supraceliac intimal tear and an infrarenal AAA repaired electively with a hybrid approach using a supraceliac stent graft and an open infrarenal aortobiiliac graft. This hybrid approach provided an excellent outcome of this rare and complex vascular pathology.

Original languageEnglish (US)
Pages (from-to)561-564
Number of pages4
JournalVascular and Endovascular Surgery
Volume45
Issue number6
DOIs
StatePublished - Aug 2011
Externally publishedYes

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Keywords

  • abdominal aortic aneurysm
  • abdominal aortic dissection
  • hybrid endovascular repair

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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