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Treatment of type‐a aortic dissection using endoprosthesis occurring after coronary artery bypass surgery
Author(s) -
Pires de Morais Gustavo,
Rodrigues Alberto,
Gama Vasco
Publication year - 2012
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.23462
Subject(s) - medicine , surgery , aortic dissection , context (archaeology) , prosthesis , aorta , dissection (medical) , complication , abdominal aorta , coronary artery bypass surgery , artery , cardiology , paleontology , biology
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.