Retrograde Type B Aortic Dissection as a Complication of Standard Endovascular Aortic Repair

Sirignano, Pasqualino; Pranteda, Chiara; Capoccia, Laura; Menna, Danilo; Mansour, Wassim; Speziale, Francesco

doi:10.1016/j.avsg.2014.08.011

Cited by 17 publications

(18 citation statements)

References 15 publications

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“…A hostile aortic neck, including calcification of the aorta or an irregularly shaped or highly angulated infrarenal aortic neck, is closely associated with these procedure-related factors. 3 , 5 ) In the present case, the infrarenal aortic neck had a favorable anatomy, and the stent-graft was implanted without difficulty. Therefore, a procedure-related cause was unlikely.…”

Section: Discussionmentioning

confidence: 58%

“…Although retrograde aortic dissection after thoracic EVAR is a well-known complication and has been reported in up to 2.4% of cases, 4 ) type B aortic dissection after EVAR has only been reported sporadically. 3 ) According to a report from a single institution, the incidence of this complication is postulated to be approximately 0.5%. 5 )…”

Section: Discussionmentioning

confidence: 99%

“…Type B aortic dissection after EVAR is rare but may cause catastrophic events, including rupture, malperfusion, and expansion of the aneurysm. 3 )…”

Section: Introductionmentioning

confidence: 99%

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Successful Hybrid Treatment of Stent-Graft Migration Caused by Type B Aortic Dissection after Endovascular Aortic Aneurysm Repair: A Case Report

Shintani

Atsuta

Saito

2017

Annals of Vascular Diseases

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Herein, we report a rare case of type B aortic dissection that occurred after endovascular aortic aneurysm repair (EVAR). A 66-year-old man underwent successful EVAR for an abdominal aortic aneurysm (AAA). Computed tomography (CT) 2 years after EVAR showed a type B aortic dissection with stent-graft migration and AAA expansion. Juxtarenal aortic expansion precluded simple stent-graft placement. He underwent hepato-spleno-renal bypass followed by stent-graft placement just below the superior mesenteric artery. Postoperative CT showed no endoleaks. This case reconfirms the importance of regular follow-up after EVAR and illustrates the usefulness of a hybrid approach.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

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Successful Hybrid Treatment of Stent-Graft Migration Caused by Type B Aortic Dissection after Endovascular Aortic Aneurysm Repair: A Case Report

Shintani

Atsuta

Saito

2017

Annals of Vascular Diseases

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“…Third, AD may be related with pre-existing aortic defects like aortic calcification, penetrating ulcer and aortic ectasia. Biomechanical interaction with these defects and device could result in type B AD [11]. …”

Section: Discussionmentioning

confidence: 99%

“…Incidence of retrograde AD after TEVAR was approximately 2.4% [5]. Especially, there are very few reports about acute type B AD in post EVAR status [5–11]. Here we report a rare case of acute type B AD following transradial coronary intervention in patients with previous EVAR.…”

Section: Introductionmentioning

confidence: 90%

Acute Type B Aortic Dissection in a Patient with Previous Endovascular Abdominal Aortic Aneurysm Repair

Park

Rha

2017

VSI

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Endovascular aortic repair (EVAR) was relatively safe, and became a widely performed procedure. If aortic dissection (AD) occurred in patient with previous EVAR, it could cause fatal complications like endograft collapse. Surgical treatment was limited in this situation for comorbidities and complex anatomies. Here we report a rare case of acute type B AD developed following trans-radial coronary intervention in a patient with previous EVAR of abdominal aortic aneurysm, which was treated with thoracic EVAR.

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A Case of Bilateral Lower Limb Ischemia Due to Endograft Collapse From Type B Acute Aortic Dissection

Hiranuma,

Minagawa,

Shimizu

et al. 2024

Clinical Case Reports

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Endograft collapse caused by aortic dissection is rare, but it might cause critical complications and sometimes lead to death. We present a case of bilateral lower limb ischemia caused by endograft collapse due to type B acute aortic dissection (TBAD). A 70‐year‐old man with an abdominal aortic aneurysm (AAA) that was treated by endovascular aortic aneurysm repair (EVAR) 17 days prior returned to our hospital due to chest pain and bilateral lower limb paleness. Contrast‐enhanced computed tomography (CT) showed an aortic dissection extending from the origin of the left subclavian artery to the terminal aorta. The main body of the endograft was compressed and the aneurysm was perfused by the false lumen. Additionally, the right leg of the endograft was occluded and the left one was collapsed. The patient was treated with axillo‐bifemoral bypass without any lower limb sequela. However, contrast‐enhanced CT performed at 2 months after the onset of the TBAD showed that the main body of the endograft was still collapsed, and the aneurysm was perfused by the false lumen of the dissection; thus, open AAA repair was performed. The postoperative course was uneventful and the patient was discharged without any complications. We successfully treated the patient with bilateral lower limb ischemia caused by endograft collapse due to TBAD after EVAR. The treatment should be considered on a case‐by‐case basis and an extra‐anatomical revascularization is one of the good treatment options.

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Retrograde Type B Aortic Dissection as a Complication of Standard Endovascular Aortic Repair

Cited by 17 publications

References 15 publications

Successful Hybrid Treatment of Stent-Graft Migration Caused by Type B Aortic Dissection after Endovascular Aortic Aneurysm Repair: A Case Report

Successful Hybrid Treatment of Stent-Graft Migration Caused by Type B Aortic Dissection after Endovascular Aortic Aneurysm Repair: A Case Report

Acute Type B Aortic Dissection in a Patient with Previous Endovascular Abdominal Aortic Aneurysm Repair

A Case of Bilateral Lower Limb Ischemia Due to Endograft Collapse From Type B Acute Aortic Dissection

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