Related Experiment Video
Updated: Apr 5, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Complex Iatrogenic Dissection Complicating Thoracic Endovascular Aneurysm Repair
Bilel Derbel1, Claude Mialhe1, Jip L Tolenaar2
1Cardiovascular Surgery Unit, Cardio Thoracic Center of Monaco, Monaco, France.
Background:
To report one the most feared complication of thoracic endovascular aneurysm repair (TEVAR); a retrograde aortic dissection who can involve the aortic arch or ascending aorta, which require commonly coextensive open surgical repair.
Case Reports:
We report 2 cases of combined retrograde and antegrade dissection after endovascular treatment of an aneurysm of the descending aorta. In both cases, a dissection was identified at short-term follow-up; which required open surgical repair in one case and an additional endovascular treatment for the second case.
Conclusions:
The incidence of extensive iatrogenic dissection after TEVAR is relatively low, open repair should be considered as a primary option in some cases with limited aortic dilatation to avoid such life-threatening complications.
Related Concept Videos
Aneurysm III: Interprofessional Care
Aneurysm IV: Nursing Management
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Aneurysm I: Introduction
Aortic Regurgitation III: Medical Management
Aortic Regurgitation I: Introduction

