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

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

Author Info

Corresponding Author
Syed F. Haider
Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA


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.

Article Info

Article Type
Case Report and Review of the Literature
Publication history
Received: Tue 03, Jan 2023
Accepted: Mon 23, Jan 2023
Published: Wed 15, Feb 2023
© 2023 Syed F. Haider. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2023.01.01