Iatrogenic type A dissection after attempted stenting of a descending aortic aneurysm.

Zhang, Ruoyu; Kofidis, Theo; Baus, Stefan; Klima, Uwe · Ann Thorac Surg · 2006

case_report · Level V

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Abstract

This case demonstrates an iatrogenic acute retrograde type A dissection of the aortic arch and ascending aorta during elective endovascular stenting of a proximal descending aortic aneurysm. This devastating complication necessitated emergent surgery with unfavorable postoperative outcome. Other than the known causes, the described retrograde type A dissection resulted from guidewire manipulation and iatrogenic creation of a false lumen, which was erroneously dilated and stented.

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