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Ann Thorac Surg 2004;77:317-319
© 2004 The Society of Thoracic Surgeons

Case report

Iatrogenic iliac artery rupture and type a dissection after endovascular repair of type B aortic dissection

Thomas Modine, MDa, Christophe Lions, MDa, Laurence Destrieux-Garnier, MDa, Stephan Haulon, MD, PhDa*, Christophe Decoene, MDa, Jean-Paul Beregi, MD, PhDa, Mohamed Koussa, MDa

a Chirurgie Vasculaire, Hôpital Cardiologique, Lille, France

Accepted for publication April 29, 2003.

* Address reprint requests to Dr Haulon, Chirurgie Vasculaire, Hôpital Cardiologique, CHRU de Lille, 59037 Lille Cedex, France
e-mail: s-haulon{at}chru-lille.fr

We report a case of two iatrogenic complications after endovascular repair of a type B aortic dissection treated for abdominal aortic branch ischemia. A rupture of the common iliac artery occurred first during the procedure. A type A dissection occurred 12 days later. The proximal part of the aortic endovascular graft had created a tear in the aortic wall resulting in a retrograde type A dissection. Although aortic endovascular grafting is apparently associated with less morbidity and mortality, potentially lethal complications, both acute and delayed, may arise.




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[Abstract] [Full Text] [PDF]


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