TY - JOUR
AR - SCR-2023-1-101
TI - Thoracic Endovascular Aortic Repair (TEVAR) for Primary Retrograde Type A Aortic Dissection
AU - Syed F., Haider
AU - Joe T., Huang
AU - Shyamin, Mehra
AU - Huzaifa, Shakir
JO - Surgical Case Reports
PY - 2023
DA - Wed 15, Feb 2023
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2023.01.01
UR - https://www.sciencerepository.org/thoracic-endovascular-aortic_SCR-2023-1-101 
KW - Endovascular, Type B dissection, TEVAR, retrograde Type A dissection
AB - Acute aortic dissection is an emergent and life-threatening condition. Retrograde Type A dissection (RTAD) can occur primarily or due to a complication of Type B dissection that often requires open repair, a highly morbid operation. While management of Type A and Type B dissections is clear, the literature is sparse regarding management of RTAD. We describe a case where the patient presented with a Type B dissection complicated by retrograde propagation, resulting in RTAD. We performed a Thoracic Endovascular Aortic Repair (TEVAR) as an alternative to standard open repair. The patient tolerated the procedure well and was discharged with resolution of the false lumen. Instead of treating a radiographic finding with a highly morbid operation, it is important to evaluate if an endovascular approach is a reasonable option to treat RTAD. Each case must be evaluated individually, but we believe that TEVAR may be an alternative intervention in specific cases.