Partial arch replacement of type A aortic dissection after thoracic endovascular aortic repair for type B dissection
Abstract Background Stent graft-induced new entry (SINE), defined as the stent graft-induced formation of a new entry point for blood to enter an area, is increasingly being observed after thoracic endovascular aortic repair (TEVAR) for Stanford type B aortic dissection worldwide. We herein describe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-10-01
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| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43044-023-00412-y |
| _version_ | 1797452162244018176 |
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| author | Tomohiro Nakajima Yutaka Iba Keishi Ogura Nobuyoshi Kawaharada |
| author_facet | Tomohiro Nakajima Yutaka Iba Keishi Ogura Nobuyoshi Kawaharada |
| author_sort | Tomohiro Nakajima |
| collection | DOAJ |
| description | Abstract Background Stent graft-induced new entry (SINE), defined as the stent graft-induced formation of a new entry point for blood to enter an area, is increasingly being observed after thoracic endovascular aortic repair (TEVAR) for Stanford type B aortic dissection worldwide. We herein describe a case of Stanford type A aortic dissection due to proximal SINE after TEVAR for Stanford type B dissection. Case presentation This case involved a 58-year-old man with type A aortic dissection due to SINE. Six years previously, he had developed severe back pain and was diagnosed with type B aortic dissection after computed tomography examination. Because the primary entry was positioned at the descending aorta, we conducted TEVAR for exclusion of the entry with a GORE TAG conformable thoracic aortic graft. He was thereafter followed by our hospital. Six years later, he developed jaw pain and was examined at another hospital. He was transferred to our hospital because of the possibility of type A dissection. Computed tomography revealed type A aortic dissection with proximal site SINE. Emergency partial arch replacement was conducted, and he was discharged on postoperative day 27. Because the entry was at the lesser curve of the arch, we excluded the entry and conducted partial arch replacement. Conclusions In this case, proximal SINE occurred 6 years after TEVAR. Because SINE may occur even in the long term after TEVAR, careful follow-up is necessary. |
| first_indexed | 2024-03-09T15:04:47Z |
| format | Article |
| id | doaj.art-471e13c7c17d46769ef83317c338ebf2 |
| institution | Directory Open Access Journal |
| issn | 2090-911X |
| language | English |
| last_indexed | 2024-03-09T15:04:47Z |
| publishDate | 2023-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-471e13c7c17d46769ef83317c338ebf22023-11-26T13:43:12ZengSpringerOpenThe Egyptian Heart Journal2090-911X2023-10-017511410.1186/s43044-023-00412-yPartial arch replacement of type A aortic dissection after thoracic endovascular aortic repair for type B dissectionTomohiro Nakajima0Yutaka Iba1Keishi Ogura2Nobuyoshi Kawaharada3Department of Cardiovascular Surgery, Sapporo Medical University School of MedicineDepartment of Cardiovascular Surgery, Sapporo Medical University School of MedicineDivision of Radiology and Nuclear Medicine, Sapporo Medical University School of MedicineDepartment of Cardiovascular Surgery, Sapporo Medical University School of MedicineAbstract Background Stent graft-induced new entry (SINE), defined as the stent graft-induced formation of a new entry point for blood to enter an area, is increasingly being observed after thoracic endovascular aortic repair (TEVAR) for Stanford type B aortic dissection worldwide. We herein describe a case of Stanford type A aortic dissection due to proximal SINE after TEVAR for Stanford type B dissection. Case presentation This case involved a 58-year-old man with type A aortic dissection due to SINE. Six years previously, he had developed severe back pain and was diagnosed with type B aortic dissection after computed tomography examination. Because the primary entry was positioned at the descending aorta, we conducted TEVAR for exclusion of the entry with a GORE TAG conformable thoracic aortic graft. He was thereafter followed by our hospital. Six years later, he developed jaw pain and was examined at another hospital. He was transferred to our hospital because of the possibility of type A dissection. Computed tomography revealed type A aortic dissection with proximal site SINE. Emergency partial arch replacement was conducted, and he was discharged on postoperative day 27. Because the entry was at the lesser curve of the arch, we excluded the entry and conducted partial arch replacement. Conclusions In this case, proximal SINE occurred 6 years after TEVAR. Because SINE may occur even in the long term after TEVAR, careful follow-up is necessary.https://doi.org/10.1186/s43044-023-00412-yRetrograde type A aortic dissectionThoracic endovascular aortic repairType B aortic dissection |
| spellingShingle | Tomohiro Nakajima Yutaka Iba Keishi Ogura Nobuyoshi Kawaharada Partial arch replacement of type A aortic dissection after thoracic endovascular aortic repair for type B dissection The Egyptian Heart Journal Retrograde type A aortic dissection Thoracic endovascular aortic repair Type B aortic dissection |
| title | Partial arch replacement of type A aortic dissection after thoracic endovascular aortic repair for type B dissection |
| title_full | Partial arch replacement of type A aortic dissection after thoracic endovascular aortic repair for type B dissection |
| title_fullStr | Partial arch replacement of type A aortic dissection after thoracic endovascular aortic repair for type B dissection |
| title_full_unstemmed | Partial arch replacement of type A aortic dissection after thoracic endovascular aortic repair for type B dissection |
| title_short | Partial arch replacement of type A aortic dissection after thoracic endovascular aortic repair for type B dissection |
| title_sort | partial arch replacement of type a aortic dissection after thoracic endovascular aortic repair for type b dissection |
| topic | Retrograde type A aortic dissection Thoracic endovascular aortic repair Type B aortic dissection |
| url | https://doi.org/10.1186/s43044-023-00412-y |
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