Retrograde ascending Stanford B aortic dissection complicating a routine infrarenal endovascular aortic reconstruction.
| Title | Retrograde ascending Stanford B aortic dissection complicating a routine infrarenal endovascular aortic reconstruction. |
| Publication Type | Journal Article |
| Year of Publication | 2013 |
| Authors | Mamopoulos, A. T., Nowak T., & Luther B. |
| Journal | J Vasc Surg |
| Volume | 58 |
| Issue | 1 |
| Pagination | 208-11 |
| Date Published | 2013 Jul |
| ISSN | 1097-6809 |
| Keywords | Aged, 80 and over, Aneurysm, Dissecting, Aortic Aneurysm, Abdominal, Aortography, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, Endovascular Procedures, Humans, Male, Prosthesis Design, Prosthesis Failure, Stents, Tomography, X-Ray Computed, Treatment Outcome |
| Abstract | Retrograde ascending aortic dissections usually complicate endovascular reconstructions of Stanford B dissections. Although rare, with an incidence of 1.3% to 6.8%, they are catastrophic, with a high mortality rate of up to 42%. The exact mechanism is not known, but all indications point to a mechanical interaction between the tips of the proximal bare stent and a fragile aortic wall. Practically all reported cases involve dissections of the thoracic aorta. We report a patient with an asymptomatic retrograde ascending aortic dissection that originated at the level of a damaged suprarenal stent during capture tip retrieval during a routine endovascular aneurysm repair to treat an infrarenal aortic aneurysm. |
| DOI | 10.1016/j.jvs.2012.10.111 |
| Alternate Journal | J. Vasc. Surg. |
| PubMed ID | 23352359 |
