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Repair of Late Retrograde Type A Aortic Dissection After TEVAR: Causes and Management
Author(s) -
Mosquera Victor X.,
Marini Milagros,
FragaManteiga Daniel,
Gulias Daniel,
Cuenca Jose J.
Publication year - 2016
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12698
Subject(s) - medicine , aortic repair , surgery , aortic dissection , complication , presentation (obstetrics) , hematoma , aortic arch , dissection (medical) , aorta
A BSTRACT One of the most feared complications of thoracic endovascular aortic repair (TEVAR) and hybrid arch repair is retrograde type A aortic dissection (RTAD). More than two‐thirds of RTAD occurs in the immediate postoperative period and first postoperative month. In presentations beyond that point, progression of the native aortopathy must be considered. We report a late presentation of an RTAD seven months after hybrid repair of an aortic intramural hematoma with an ulcer‐like projection, and review the causes and management of this TEVAR complication. doi: 10.1111/jocs.12698 (J Card Surg 2016;31:164–167)