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Surgical technique for acute retrograde type A aortic dissection after zone 2 TEVAR for complicated type B dissection in a 63 year old patient
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  • Paulus Schurr,
  • Mohamed Morjan,
  • Peter Fellmer,
  • Jochen Boergermann
Paulus Schurr
Herzzentrum Duisburg

Corresponding Author:[email protected]

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Mohamed Morjan
Herzzentrum Duisburg
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Peter Fellmer
Evangelisches Klinikum Niederrhein gGmbH
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Jochen Boergermann
Herzzentrum Duisburg
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Abstract

Patients suffering retrograde type A dissection after TEVAR for type B dissection are at a higher risk of mortality than their spontanous counterparts and the kind of optimal therapy remains obscure. We present a rare case of successful open surgical repair where distal open anastomosis was accomplished cutting off the un-covered stent portion and suturing a vascular prosthesis to the dissected distal aortic arch including the covered stent part. The clinical course was regular. Immediate and radical repair in the aortic arch may be the adequate response in such instances.
04 Apr 2022Submitted to Journal of Cardiac Surgery
04 Apr 2022Submission Checks Completed
04 Apr 2022Assigned to Editor
06 Apr 2022Reviewer(s) Assigned
14 Apr 2022Review(s) Completed, Editorial Evaluation Pending
15 Apr 2022Editorial Decision: Revise Major
09 May 20221st Revision Received
09 May 2022Submission Checks Completed
09 May 2022Assigned to Editor
09 May 2022Reviewer(s) Assigned
13 May 2022Review(s) Completed, Editorial Evaluation Pending
18 May 2022Editorial Decision: Revise Minor
21 May 20222nd Revision Received
23 May 2022Submission Checks Completed
23 May 2022Assigned to Editor
23 May 2022Reviewer(s) Assigned
24 May 2022Review(s) Completed, Editorial Evaluation Pending
26 May 2022Editorial Decision: Accept
Sep 2022Published in Journal of Cardiac Surgery volume 37 issue 9 on pages 2747-2749. 10.1111/jocs.16710