Stent graft-induced new entry tear after endoluminal grafting for aortic dissection repaired with open interposition graft.

Gomero-Cure, Wadi; Lowery, Robert C; O'Donnell, Sean · J Vasc Surg · 2013

case_report · Level V

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Abstract

Thoracic endovascular aortic repair is a successful treatment strategy for type B aortic dissections, with low morbidity and mortality compared with the gold standard of open repair. Questions still remain regarding its long-term durability and complication rate. There is a growing awareness of new entry tears induced by the stent graft, a potentially lethal complication. We report the case of a 74-year-old woman with a complicated retrograde type A aortic dissection treated with endovascular stent graft coverage. She required open surgical conversion after she developed a symptomatic, new entry tear induced by the stent graft.

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