Case Report: Delayed Type A Aortic Dissection Following Complete Debranching of the Aortic Arch and Stent Graft Placement

Odeaa Al Jabbari; Walid K. Abu Saleh; Ali Irshad; Trolls Christensen; Brian Bruckner; Jean Bismuth; Matthias Loebe

doi:10.14797/mdcj-12-1-45

Case Report: Delayed Type A Aortic Dissection Following Complete Debranching of the Aortic Arch and Stent Graft Placement

Odeaa Al Jabbari, Walid K. Abu Saleh, Ali Irshad, Trolls Christensen, Brian Bruckner, Jean Bismuth, Matthias Loebe

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Treatment options for aortic arch disease in high-risk patients includes supra-aortic debranching and thoracic endovascular aortic repair (TEVAR). Acute ascending aortic dissection is a concerning complication of this approach and has been reported to occur in a retrograde fashion. We report a case of a 60-year-old gentleman who had undergone thoracic endovascular aortic repair with debranching and presented 31 months later with acute isolated ascending aortic dissection. The patient underwent successful total replacement of the ascending aorta with a 30-mm gelwave Valsalva(™) graft using cardiopulmonary bypass.

Original language	English (US)
Pages (from-to)	45-47
Number of pages	3
Journal	Methodist DeBakey cardiovascular journal
Volume	12
Issue number	1
DOIs	https://doi.org/10.14797/mdcj-12-1-45
State	Published - Jan 1 2016

Keywords

aortic arch debranching
complicated type B aortic dissection
thoracic endovascular aortic repair
type A aortic dissection

ASJC Scopus subject areas

General Medicine

Access to Document

10.14797/mdcj-12-1-45

Cite this

@article{d0ec41abf0724fdea791e59660f61379,

title = "Case Report: Delayed Type A Aortic Dissection Following Complete Debranching of the Aortic Arch and Stent Graft Placement",

abstract = "Treatment options for aortic arch disease in high-risk patients includes supra-aortic debranching and thoracic endovascular aortic repair (TEVAR). Acute ascending aortic dissection is a concerning complication of this approach and has been reported to occur in a retrograde fashion. We report a case of a 60-year-old gentleman who had undergone thoracic endovascular aortic repair with debranching and presented 31 months later with acute isolated ascending aortic dissection. The patient underwent successful total replacement of the ascending aorta with a 30-mm gelwave Valsalva({\texttrademark}) graft using cardiopulmonary bypass. ",

keywords = "aortic arch debranching, complicated type B aortic dissection, thoracic endovascular aortic repair, type A aortic dissection",

author = "{Al Jabbari}, Odeaa and {Abu Saleh}, {Walid K.} and Ali Irshad and Trolls Christensen and Brian Bruckner and Jean Bismuth and Matthias Loebe",

year = "2016",

month = jan,

day = "1",

doi = "10.14797/mdcj-12-1-45",

language = "English (US)",

volume = "12",

pages = "45--47",

journal = "Methodist DeBakey cardiovascular journal",

issn = "1947-6094",

publisher = "Houston Methodist Debakey Heart and Vascular Center",

number = "1",

}

TY - JOUR

T1 - Case Report

T2 - Delayed Type A Aortic Dissection Following Complete Debranching of the Aortic Arch and Stent Graft Placement

AU - Al Jabbari, Odeaa

AU - Abu Saleh, Walid K.

AU - Irshad, Ali

AU - Christensen, Trolls

AU - Bruckner, Brian

AU - Bismuth, Jean

AU - Loebe, Matthias

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Treatment options for aortic arch disease in high-risk patients includes supra-aortic debranching and thoracic endovascular aortic repair (TEVAR). Acute ascending aortic dissection is a concerning complication of this approach and has been reported to occur in a retrograde fashion. We report a case of a 60-year-old gentleman who had undergone thoracic endovascular aortic repair with debranching and presented 31 months later with acute isolated ascending aortic dissection. The patient underwent successful total replacement of the ascending aorta with a 30-mm gelwave Valsalva(™) graft using cardiopulmonary bypass.

AB - Treatment options for aortic arch disease in high-risk patients includes supra-aortic debranching and thoracic endovascular aortic repair (TEVAR). Acute ascending aortic dissection is a concerning complication of this approach and has been reported to occur in a retrograde fashion. We report a case of a 60-year-old gentleman who had undergone thoracic endovascular aortic repair with debranching and presented 31 months later with acute isolated ascending aortic dissection. The patient underwent successful total replacement of the ascending aorta with a 30-mm gelwave Valsalva(™) graft using cardiopulmonary bypass.

KW - aortic arch debranching

KW - complicated type B aortic dissection

KW - thoracic endovascular aortic repair

KW - type A aortic dissection

UR - http://www.scopus.com/inward/record.url?scp=85021859406&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85021859406&partnerID=8YFLogxK

U2 - 10.14797/mdcj-12-1-45

DO - 10.14797/mdcj-12-1-45

M3 - Article

C2 - 27127563

AN - SCOPUS:85021859406

SN - 1947-6094

VL - 12

SP - 45

EP - 47

JO - Methodist DeBakey cardiovascular journal

JF - Methodist DeBakey cardiovascular journal

IS - 1

ER -

Case Report: Delayed Type A Aortic Dissection Following Complete Debranching of the Aortic Arch and Stent Graft Placement

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this