Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts
Type A dissection is infrequently reported after infrarenal endovascular aortic repair (EVAR). Here, we present a case of an EVAR with iliac branch endoprosthesis complicated by type A dissection requiring ascending arch repair. After hemiarch repair, the patient was noted to have residual type B di...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002508 |
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| author | Quynh-Anh L. Dang, BS, BBA Ciaran S. O'Brien, MD William Rothstein, MD Chase Brown, MD Venkat Kalapatapu, MD |
| author_facet | Quynh-Anh L. Dang, BS, BBA Ciaran S. O'Brien, MD William Rothstein, MD Chase Brown, MD Venkat Kalapatapu, MD |
| author_sort | Quynh-Anh L. Dang, BS, BBA |
| collection | DOAJ |
| description | Type A dissection is infrequently reported after infrarenal endovascular aortic repair (EVAR). Here, we present a case of an EVAR with iliac branch endoprosthesis complicated by type A dissection requiring ascending arch repair. After hemiarch repair, the patient was noted to have residual type B dissection, malperfusion of the left renal artery, and compression of the EVAR with left external iliac limb occlusion. These were treated successfully with iliac thrombectomy and dissection stent placement. |
| format | Article |
| id | doaj-art-5e9c486819d84f3984ca96a4650fdfc2 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-5e9c486819d84f3984ca96a4650fdfc22025-01-20T04:17:43ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101666Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched graftsQuynh-Anh L. Dang, BS, BBA0Ciaran S. O'Brien, MD1William Rothstein, MD2Chase Brown, MD3Venkat Kalapatapu, MD4Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Correspondence: Quynh-Anh L. Dang, BS, BBA, Jordan Medical Education Center, 3400 Civic Center Blvd, Philadelphia, PA 19104Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, PADivision of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, PADivision of Cardiac Surgery, Penn Presbyterian Medical Center, Philadelphia, PADivision of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, PAType A dissection is infrequently reported after infrarenal endovascular aortic repair (EVAR). Here, we present a case of an EVAR with iliac branch endoprosthesis complicated by type A dissection requiring ascending arch repair. After hemiarch repair, the patient was noted to have residual type B dissection, malperfusion of the left renal artery, and compression of the EVAR with left external iliac limb occlusion. These were treated successfully with iliac thrombectomy and dissection stent placement.http://www.sciencedirect.com/science/article/pii/S2468428724002508AneurysmAortic dissectionThoracic aortaAbdominal aorta |
| spellingShingle | Quynh-Anh L. Dang, BS, BBA Ciaran S. O'Brien, MD William Rothstein, MD Chase Brown, MD Venkat Kalapatapu, MD Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts Journal of Vascular Surgery Cases and Innovative Techniques Aneurysm Aortic dissection Thoracic aorta Abdominal aorta |
| title | Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts |
| title_full | Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts |
| title_fullStr | Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts |
| title_full_unstemmed | Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts |
| title_short | Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts |
| title_sort | hybrid repair of type a aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts |
| topic | Aneurysm Aortic dissection Thoracic aorta Abdominal aorta |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002508 |
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