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Department of Cardiovascular Surgery, Semmelweis University, Budapest, Hungary
Accepted for publication August 26, 2008.
* Address correspondence to Dr Szabolcs, Department of Cardiovascular Surgery, 68 Varosmajor Str, H-1122 Budapest, Hungary (Email: szabzol51{at}t-online.hu).
A 57-year-old man complaining of chest pain presented with signs of lower limb ischemia 1 year after implantation of a stent graft at the aortoiliac bifurcation. A computed tomography scan revealed the presence of a type A aortic dissection and complete collapse of the stent graft by bulging of the false lumen. The patient underwent emergency surgical reconstruction of the aortic root and arch, which allowed reexpansion of the previously collapsed stent graft. Stenting of residual stenoses distal to the stent graft and of an occluded left renal artery was also successful.
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