Retrograde ascending aortic dissection as an early complication of thoracic endovascular aortic repair Judson B. Williams, MD, MHS, Nicholas D. Andersen,

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Presentation transcript:

Retrograde ascending aortic dissection as an early complication of thoracic endovascular aortic repair Judson B. Williams, MD, MHS, Nicholas D. Andersen, MD, Syamal D. Bhattacharya, MD, Elizabeth Scheer, MPAS, PA-C, Jonathan P. Piccini, MD, MHS, Richard L. McCann, MD, G. Chad Hughes, MD Journal of Vascular Surgery Volume 55, Issue 5, Pages 1255-1262 (May 2012) DOI: 10.1016/j.jvs.2011.11.063 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig Preoperative computed tomography angiography (CTA) in patient undergoing thoracic endografting (TEVAR) for chronic type B dissection with aneurysm who suffered postoperative retrograde ascending aortic dissection (rAAD). Note dilated ascending aorta measuring 4.5 cm (A); Normal transesophageal echocardiogram (TEE) at the completion of TEVAR procedure (B); CTA obtained after new-onset chest pain and hypotension on postoperative day 6 revealing acute rAAD (C); Intraoperative TEE showing rAAD at the time of open repair (D). Journal of Vascular Surgery 2012 55, 1255-1262DOI: (10.1016/j.jvs.2011.11.063) Copyright © 2012 Society for Vascular Surgery Terms and Conditions