Retrograde Ascending Aortic Dissection after Stent Grafting for Stanford Type B Aortic Dissection with Severe Limb Ischemia

We report a rare case of retrograde Stanford type A aortic dissection after endovascular repair for complicated Stanford type B aortic dissection. A 45-year-old man presented with a sudden onset of back pain and was transferred to our hospital. Computed tomography demonstrated acute Stanford type B...

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Veröffentlicht in:Annals of Vascular Diseases 2017/03/24, Vol.10(1), pp.54-58
Hauptverfasser: Higuchi, Yoshiro, Tochii, Masato, Takami, Yoshiyuki, Kobayashi, Akihiro, Yanagisawa, Tsutomu, Amano, Kentaro, Sakurai, Yusuke, Ishida, Michiko, Ishikawa, Hiroshi, Hattori, Koji, Takagi, Yasushi
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container_end_page 58
container_issue 1
container_start_page 54
container_title Annals of Vascular Diseases
container_volume 10
creator Higuchi, Yoshiro
Tochii, Masato
Takami, Yoshiyuki
Kobayashi, Akihiro
Yanagisawa, Tsutomu
Amano, Kentaro
Sakurai, Yusuke
Ishida, Michiko
Ishikawa, Hiroshi
Hattori, Koji
Takagi, Yasushi
description We report a rare case of retrograde Stanford type A aortic dissection after endovascular repair for complicated Stanford type B aortic dissection. A 45-year-old man presented with a sudden onset of back pain and was transferred to our hospital. Computed tomography demonstrated acute Stanford type B aortic dissection with lower limb ischemia. Emergency endovascular surgery was planned for repair of the Stanford type B aortic dissection. The patient suddenly developed recurrent chest pain 10 days after the initial procedure. Computed tomography revealed retrograde Stanford type A aortic dissection involving the ascending aorta and aortic arch. The patient underwent a successful emergency total aortic arch replacement.
doi_str_mv 10.3400/avd.cr.16-00123
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subjects Case Report
retrograde type A aortic dissection
Stanford type B aortic dissection
thoracic endovascular aortic repair
title Retrograde Ascending Aortic Dissection after Stent Grafting for Stanford Type B Aortic Dissection with Severe Limb Ischemia
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