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Fracture of the Bare Spring of a Thoracic Endograft for Type A Aortic Dissection: A Case Report
Vasc Spec Int 2019;35:39-43
Published online March 31, 2019;  https://doi.org/10.5758/vsi.2019.35.1.39
© 2019 The Korean Society for Vascular Surgery.

Shin-Ah Son1, Myong Hun Hahm2, Young Eun Kim1, Gun-Jik Kim1

1Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea, 2Department of Radiology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
Correspondence to: Gun-Jik Kim, Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea, Tel: 82-53-200-5665, Fax: 82-53-426-4765, E-mail: straightroot@knu.ac.kr, https://orcid.org/0000-0002-8051-2131
Received December 17, 2018; Revised January 17, 2019; Accepted February 7, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract

Retrograde type A aortic dissection (RTAD) following thoracic endovascular aortic repair is a devastating complication associated with high mortality rates. In particular, a deployed endograft in a bird-beak formation in an acute curve of the aortic arch can induce injury to the fragile aortic wall, with the subsequent development of RTAD. Here, we describe an extremely rare case of RTAD caused by fracture of the bare spring of the thoracic endograft for type A aortic dissection.

Keywords: Aorta, Endovascular procedure, Dissection


June 2019, 35 (2)
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