Type A Aortic Dissection After Thoracic Endovascular Aortic Repair for Type B - 22/01/25
Résumé |
Type A aortic dissection (TAAD) has been associated with thoracic endovascular aortic repair (TEVAR) for aortic conditions: dissection and aneurysm. Our purpose was to study a subset of patients who had an initial TEVAR for type B aortic dissection, followed by a TAAD, which was treated by open ascending aortic repair. Over a 6-year period, 171 consecutive patients underwent open ascending aortic repair for TAAD, of whom 21 (12%) had a previous cardiovascular procedure, 17 of which were endovascular. A total of 9 (5.2%) of 171 patients with TAAD had a previous TEVAR for a type B. The mean interval from TEVAR to open ascending aortic repair for TAAD was 4.6 years, with only 1 occurring within a month. Only 1 patient had abnormal aortic media by histology. In 5 of the 9 patients, the entry tear was in the proximal ascending aorta, remote from the endograft, which suggests that a TAAD late after TEVAR for type B represents a new spontaneous event.
Le texte complet de cet article est disponible en PDF.Keywords : aortic dissection, TEVAR
Plan
| Funding: Financial support of Drs. Eisenga and McCullough is a generous philanthropic gift of the Baylor Scott & White Dallas Foundation (Dallas, Texas), the Roberts Foundation (Dallas, Texas), and the family of Satish and Yasmin Gupta (Dallas, Texas). |
Vol 237
P. 79-82 - février 2025 Retour au numéro
Article précédent
- The Congenitally Malformed Aortic Valve in Type A Aortic Dissection: Its Frequency and Consequences
- Kyle A. McCullough, John B. Eisenga, J. Michael DiMaio, Charles S. Roberts
- Acute Ascending Aortic Dissection Masquerading as an ST Elevation Myocardial Infarction
- Ariane Lemieux, Helen Hashemi, Charles S. Roberts, Jeffrey M. Schussler
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