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Article: Conservative management of delayed retrograde type a aortic dissection after successful hybrid endovascular repair of distal arch aneurysm

TitleConservative management of delayed retrograde type a aortic dissection after successful hybrid endovascular repair of distal arch aneurysm
Authors
KeywordsAortic arch
Aortic dissection
Extra-anatomical bypass
Hybrid
Intramural haematoma
Stent-graft
Issue Date2010
Citation
Acta Chirurgica Belgica, 2010, v. 110 n. 2, p. 240-242 How to Cite?
AbstractRetrograde Type A aortic dissection following successful endovascular treatment of thoracic aortic disease is not uncommon. We report a case where the primary pathology was distal aortic arch aneurysm without dissection, and the retrograde type A dissection occurred four months after successful hybrid endovascular management with right to left carotid bypass and stent-graft with a Cook Zenith device. As the patient was not medically fit for sternotomy and repair of Type A aortic dissection, progress was monitored with serial CT scans. This case demonstrates that delayed retrograde type A dissection can occur even in cases when there was no previous aortic dissection, and that in selective patients who are poor candidates for major aortic surgery, a conservative approach can be adopted.
Persistent Identifierhttp://hdl.handle.net/10722/147694
ISSN
2023 Impact Factor: 0.6
2023 SCImago Journal Rankings: 0.259
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorShe, WHen_HK
dc.contributor.authorChan, YCen_HK
dc.contributor.authorTing, ACen_HK
dc.contributor.authorCheng, SWen_HK
dc.date.accessioned2012-05-29T06:07:59Z-
dc.date.available2012-05-29T06:07:59Z-
dc.date.issued2010en_HK
dc.identifier.citationActa Chirurgica Belgica, 2010, v. 110 n. 2, p. 240-242en_HK
dc.identifier.issn0001-5458en_HK
dc.identifier.urihttp://hdl.handle.net/10722/147694-
dc.description.abstractRetrograde Type A aortic dissection following successful endovascular treatment of thoracic aortic disease is not uncommon. We report a case where the primary pathology was distal aortic arch aneurysm without dissection, and the retrograde type A dissection occurred four months after successful hybrid endovascular management with right to left carotid bypass and stent-graft with a Cook Zenith device. As the patient was not medically fit for sternotomy and repair of Type A aortic dissection, progress was monitored with serial CT scans. This case demonstrates that delayed retrograde type A dissection can occur even in cases when there was no previous aortic dissection, and that in selective patients who are poor candidates for major aortic surgery, a conservative approach can be adopted.en_HK
dc.languageengen_US
dc.relation.ispartofActa Chirurgica Belgicaen_HK
dc.subjectAortic archen_HK
dc.subjectAortic dissectionen_HK
dc.subjectExtra-anatomical bypassen_HK
dc.subjectHybriden_HK
dc.subjectIntramural haematomaen_HK
dc.subjectStent-graften_HK
dc.subject.meshAgeden_US
dc.subject.meshAneurysm, Dissecting - Therapyen_US
dc.subject.meshAortic Aneurysm, Thoracic - Surgery - Therapyen_US
dc.subject.meshCarotid Arteries - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshStentsen_US
dc.titleConservative management of delayed retrograde type a aortic dissection after successful hybrid endovascular repair of distal arch aneurysmen_HK
dc.typeArticleen_HK
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hken_HK
dc.identifier.emailCheng, SW: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityChan, YC=rp00530en_HK
dc.identifier.authorityCheng, SW=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1080/00015458.2010.11680609-
dc.identifier.pmid20514845-
dc.identifier.scopuseid_2-s2.0-77952719242en_HK
dc.identifier.hkuros170802-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77952719242&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume110en_HK
dc.identifier.issue2en_HK
dc.identifier.spage240en_HK
dc.identifier.epage242en_HK
dc.identifier.isiWOS:000278018300025-
dc.identifier.scopusauthoridShe, WH=35574579400en_HK
dc.identifier.scopusauthoridChan, YC=27170769400en_HK
dc.identifier.scopusauthoridTing, AC=7102858552en_HK
dc.identifier.scopusauthoridCheng, SW=7404684779en_HK
dc.identifier.issnl0001-5458-

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