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Eur J Cardiothorac Surg 2001;20:1057-1058
© 2001 Elsevier Science NL

Case report

Emergency surgery for retrograde extension of type B dissection after endovascular stent graft repair

^a Università ‘La Sapienza’ II-div. Cardiochirurgia, viale del Policlinico 155, 00161 Rome, Italy
^b Istituto di Radiologia -Policlinico Umberto I Rome, Italy

Received 11 June 2001; received in revised form 28 July 2001; accepted 6 August 2001.

Corresponding author. Tel.: +39-06-49972693; fax: +39-06-49972410
e-mail: marcototaro{at}virgilio.it

Endovascular stent graft repair of type B dissection is a new and alternative treatment to the surgical or medical therapy. This technique is not free from minor or major complications and we herein report the case of a patient who developed a retrograde dissection after endovascular stent graft placement. The emergent surgical treatment undertaken consisted of ascending aorta replacement without treating the arch in account of the presence of the endoluminal prosthesis.

Key Words: Thoracic aortic stenting • Retrograde dissection • Ascending aorta replacement

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