Retrograde ascending aortic dissection in the midterm period after thoracic endovascular aortic repair: a case report and literature review

Abstract

Retrograde ascending aortic dissection (rAAD) is a catastrophic complication of thoracic endovascular aortic repair (TEVAR). A 56 year-old male patient who had undergone TEVAR for Stanford type B aortic dissection 6-month ago was admitted to our clinic with uncontrolled hypertension for the last twelve hours and history of a syncopal attack three days ago. Retrograde ascending aortic dissection was detected in computed tomography angiography. Ascending aorta and hemiarch replacement with a Dacron graft was safely performed via hypothermic circulatory arrest and antegrade cerebral perfusion for the treatment of rAAD after TEVAR.

Keywords:

• Aortic dissection
• endovascular aortic repair
• hemiarch replacement

Acknowledgements

The authors gratefully acknowledge Ali Ihsan PARLAR, M.D., Associate Professor of Cardiovascular Surgery, for the supervision of the operation, and Aysugul ALPTEKIN SARIOGLU, M.D., for the illustration of the operation in charcoal drawing.

Disclosure statement

No potential conflict of interest was reported by the author(s).