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Tex Heart Inst J. 2013;40(2):182-5.

Complex endovascular repair of a large dissection of the ascending aorta in a 70-year-old man.

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  • 1Department of Cardiology, Texas Heart Institute at St Luke's Episcopal Hospital, Houston, Texas 77030, USA.


We report the case of a 70-year-old man who presented with a large dissection of the ascending aorta related to coronary artery bypass grafting 3 years earlier. One graft was patent; however, a reverse venous graft to the right coronary artery was occluded, and that artery was substantially stenotic. The patient was a high-risk surgical candidate, so we treated a large dissection successfully by endovascular means with a thoracic endograft. This case suggests that this approach can be applied safely and effectively to other high-surgical-risk patients who have complex ascending aortic disease.


Anastomosis, surgical/adverse effects; aneurysm, false/therapy; aortic aneurysm, thoracic; blood vessel prosthesis implantation; endovascular procedures/instrumentation; risk factors; stents; treatment outcome

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