Treatment of type‐a aortic dissection using endoprosthesis occurring after coronary artery bypass surgery

Type‐A aortic dissection is a rare and often fatal complication following coronary artery bypass surgery (CABG). Corrective surgery seldom improves patient outcome. This report reviews and discusses endoprosthetic correction of type‐A aortic dissection. A case of a transluminal correction of acute type‐A aortic dissection one year after CABG in a 66‐year‐old male with a history of ischemic and severely compromised left ventricular function is presented. A prosthesis originally designed for the abdominal aorta was successfully used. Regular follow‐up was performed and nearly 3 years post prosthesis implantation the patient is stable in New York Heart Association class II. To the authors' knowledge there are no other literature reports of endoprosthetic correction of a type‐A aortic dissection in the context of CABG with saphenous grafts. © 2012 Wiley Periodicals, Inc.