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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aneurysm I: Introduction01:30

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Related Experiment Video

Updated: Nov 1, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

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Typical Retrograde Type A Dissection After Previous Type B Dissection.

Zeyi Cheng1, Jun Shi2, Caixia Pe3

  • 1Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Sichuan, China. 572209259@qq.com.

The Heart Surgery Forum
|June 26, 2021
PubMed
Summary
This summary is machine-generated.

Retrograde tears to Stanford type A aortic dissection (RTAAD) are rare but fatal complications following stent graft repair for type B aortic dissection (TBAD). Prompt diagnosis and surgical intervention are crucial for patient survival.

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Endovascular Surgery
  • Aortic Dissection Research

Background:

  • Stanford type B aortic dissection (TBAD) can rarely progress to retrograde Stanford type A aortic dissection (RTAAD).
  • RTAAD is associated with high mortality, necessitating early diagnosis and intervention.
  • Endovascular stent graft repair for TBAD carries a risk of iatrogenic injury.

Observation:

  • A 71-year-old female presented with acute chest and back pain ten hours post-stent graft repair for TBAD.
  • Initial suspicion of disease progression or retrograde tear was confirmed by CT angiography.
  • The RTAAD was attributed to direct damage to the ascending aorta by the stent tip.

Findings:

  • Successful open surgical repair of the RTAAD was performed.
  • This case highlights a rare complication of stent graft implantation for TBAD.
  • The mechanism involved direct aortic wall injury from the stent graft.

Implications:

  • RTAAD must be considered in patients presenting with chest/back pain after aortic stent repair.
  • Timely diagnosis via advanced imaging is critical.
  • Early surgical intervention is strongly recommended for RTAAD to improve outcomes.