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Ann Thorac Surg 2003;75:1967-1969
© 2003 The Society of Thoracic Surgeons

Case report

Acute retrograde aortic dissection during endovascular repair of a thoracic aortic aneurysm

Noëlla Bethuyne, MDa*, Thierry Bove, MDa, Pierre Van den Brande, MD, PhDa, Jacques P. Goldstein, MD, PhDa

a Departments of Cardiac and Vascular Surgery, Academic Hospital, Free University of Brussels, Brussels, Belgium

Accepted for publication November 27, 2002.

* Address reprint requests to Dr Bethuyne, Academic Hospital, Free University of Brussels, Department of Cardiac Surgery, Laarbeeklaan, 101, 1090 Brussels, Belgium, noella.bethuyne.pi.be

Endovascular aneurysm exclusion represents a valuable alternative treatment for descending thoracic aortic aneurysms. Although the minimally invasive character of this procedure is obvious, major complications are possible. We report a 77-year-old male who developed acute retrograde dissection of the aortic arch and ascending aorta during endovascular stent-grafting of a descending aortic aneurysm. Emergent open surgical repair provided a successful outcome.




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