Acute Type A Dissection Causing Impending Rupture of Abdominal Aortic Aneurysm Previously Treated with EVAR

Ogawa, Yoshiaki; Watkins, A. Claire; Lee, Anson; Iwakoshi, Shinichi; Dua, Anahita; Pedroza, Albert J; Dake, Michael D.; Lee, Jason T.

doi:10.1016/j.avsg.2019.11.047

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…The most common treatment in these cases was thoracic EVAR (TEVAR), with which a false lumen is potentially thrombosed and its pressure is decreased. In a case similar to ours, TAAD was treated with TEVAR, but unsuccessfully, since it only prolonged the patient’s survival to open repair with endograft replacement, which is another treatment option [ 11 ]. Additionally, most data reports TAAD following TEVAR rather than abdominal EVAR, with a postprocedural TAAD incidence of about 6.8%.…”

Section: Discussionmentioning

confidence: 99%

“…TAAD following EVAR is a rare and challenging problem, which can lead to severe consequences such as expansion or rupture of the aneurysm, or endograft collapse with malperfusion due to excessive pressure in the false lumen from the lack of outflow [11]. The majority of reported aortic dissections following EVAR are Stanford type B [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

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Delayed Stanford Type A Aortic Dissection After Endovascular Repair of Abdominal Aortic and Common Iliac Artery Aneurysms Resulting in Stent Graft Collapse: A Case Report

Lah,

Cvetko,

Breznik

2024

Cureus

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We discuss a rare case of Stanford type A aortic dissection (TAAD) occurring several months after endovascular aneurysm repair (EVAR) of the abdominal aortic and the common iliac artery (CIA) aneurysms. The patient underwent urgent surgery for TAAD treatment but died on the table due to intractable bleeding. We conclude that TAAD was likely unrelated to the initial EVAR procedure but rather to atherosclerosis, hypertension, and prior aortic valve replacement. Only a few cases in the literature report TAAD and total collapse of the abdominal aortic stent graft.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Delayed Stanford Type A Aortic Dissection After Endovascular Repair of Abdominal Aortic and Common Iliac Artery Aneurysms Resulting in Stent Graft Collapse: A Case Report

Lah,

Cvetko,

Breznik

2024

Cureus

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“…To our knowledge, only one TAAD after EVAR has been previously described in the literature. In that case, TAAD occurred eight years after an EVAR for an AAA and recent endovascular Type IB endoleak repair through brachial artery access [ 5 ]. CTA showed iatrogenic TAAD extending from the ascending aorta into the AAA, which continued to grow despite emergent hemiarch replacement and TEVAR.…”

Section: Discussionmentioning

confidence: 99%

“…Rarely, aortic dissections have been documented following EVAR, leading to graft collapse, impending rupture of an AAA, and distal malperfusion. The majority of these cases were Type B aortic dissections (TBAD) [ 5 ]. The present case report describes a Type A aortic dissection (TAAD) following endovascular repair of an isolated external IAA, which required open sternotomy with aortic valve replacement (AVR) and aortic graft to seal the entry tears.…”

Section: Introductionmentioning

confidence: 99%

Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm

Wolfers¹,

Qian²,

Montorfano³

et al. 2021

Cureus

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We discuss a rare case of acute Type A thoracic aortic dissection (TAAD) following endovascular aneurysm repair (EVAR) of a common iliac artery aneurysm, which likely resulted from complications due to aberrant anatomy. Valve replacement, ascending aortic arch graft, and entry tear suture repair were necessary to contain the TAAD. Postoperative computed tomography with angiography (CTA) demonstrated stable disease, and the patient remained asymptomatic. Open and endovascular repair of the descending abdominal aorta was avoided. Few cases in the literature report TAAD following EVAR. Detection and repair of the entry site was crucial for containing the TAAD.

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Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts

Dang,

O'Brien,

Rothstein

et al. 2025

Journal of Vascular Surgery Cases, Innovations and Techniques

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Acute Type A Dissection Causing Impending Rupture of Abdominal Aortic Aneurysm Previously Treated with EVAR

Cited by 5 publications

References 8 publications

Delayed Stanford Type A Aortic Dissection After Endovascular Repair of Abdominal Aortic and Common Iliac Artery Aneurysms Resulting in Stent Graft Collapse: A Case Report

Delayed Stanford Type A Aortic Dissection After Endovascular Repair of Abdominal Aortic and Common Iliac Artery Aneurysms Resulting in Stent Graft Collapse: A Case Report

Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm

Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts

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