Thoracic Endovascular Aortic Repair (TEVAR) for Primary Retrograde Type A Aortic Dissection

• Published in: Surgical Case Reports pp. 1 - 3
• Main Authors: Haider, Syed F., Huang, Joe T., Mehra, Shyamin, Shakir, Huzaifa
• Format: Journal Article
• Language: English
• Published: 15.02.2023
• ISSN: 2613-5965; 2613-5965
• DOI: 10.31487/j.SCR.2023.01.01

Acute aortic dissection is an emergent and life-threatening condition. Retrograde Type A dissection (RTAD) can occur primarily or due to a complication of Type B dissection that often requires open repair, a highly morbid operation. While management of Type A and Type B dissections is clear, the literature is sparse regarding management of RTAD. We describe a case where the patient presented with a Type B dissection complicated by retrograde propagation, resulting in RTAD. We performed a Thoracic Endovascular Aortic Repair (TEVAR) as an alternative to standard open repair. The patient tolerated the procedure well and was discharged with resolution of the false lumen. Instead of treating a radiographic finding with a highly morbid operation, it is important to evaluate if an endovascular approach is a reasonable option to treat RTAD. Each case must be evaluated individually, but we believe that TEVAR may be an alternative intervention in specific cases.