Delayed retrograde aortic dissection after endovascular stenting of the descending thoracic aorta

Miralem Pasic, Peter Bergs, Friedrich D Knollmann, Burkhart Zipfel, Peter Müller, Michael Hofmann, Roland Hetzer

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

A 66-year-old patient underwent emergency endovascular repair of a descending thoracic aneurysm because of suspected aortic rupture. Two weeks later, a small saccular aneurysm of the aortic arch was treated with open surgery. An unexpected intraoperative finding was retrograde dissection of the aortic arch and of the ascending aorta that was not seen on the postprocedural computed tomographic scans after endografting. The ascending aorta, the aortic arch, and the proximal part of the descending thoracic aorta were successfully replaced with a Dacron graft with deep hypothermia, circulatory arrest, and retrograde cerebral perfusion. Awareness that this life-threatening complication that necessitates extensive cardiovascular surgery can occur not only during or immediately after endovascular stenting of the thoracic aorta but also as much as several days or perhaps even weeks after the procedure is important.

Original languageEnglish (US)
Pages (from-to)184-186
Number of pages3
JournalJournal of Vascular Surgery
Volume36
Issue number1
DOIs
StatePublished - Jul 2002
Externally publishedYes

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Thoracic Aorta
Dissection
Aneurysm
Aorta
Aortic Rupture
Polyethylene Terephthalates
Hypothermia
Emergencies
Thorax
Perfusion
Transplants

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Delayed retrograde aortic dissection after endovascular stenting of the descending thoracic aorta. / Pasic, Miralem; Bergs, Peter; Knollmann, Friedrich D; Zipfel, Burkhart; Müller, Peter; Hofmann, Michael; Hetzer, Roland.

In: Journal of Vascular Surgery, Vol. 36, No. 1, 07.2002, p. 184-186.

Research output: Contribution to journalArticle

Pasic, Miralem ; Bergs, Peter ; Knollmann, Friedrich D ; Zipfel, Burkhart ; Müller, Peter ; Hofmann, Michael ; Hetzer, Roland. / Delayed retrograde aortic dissection after endovascular stenting of the descending thoracic aorta. In: Journal of Vascular Surgery. 2002 ; Vol. 36, No. 1. pp. 184-186.
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