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Takatoshi, H., Noriyuki, K., Ken, N., Shuji, C., Takashi, H., Takafumi, O., Toshiya, T., Yasumi, M., Toru, M., Satoshi, T., Naoki, Y., Hisato, I. and Hajime, S. (2019) Thoracic Endovascular Aortic Repair for Retrograde Type A Aortic Dissection. Journal of Vascular Surgery, 69, 1685-1693.
https://doi.org/10.1016/j.jvs.2018.08.193

has been cited by the following article:

• TITLE: Thoracic Endovascular Aortic Repair for Cardiopulmonary Arrest Due to Aortic Dissection

  AUTHORS: Yoshiro Kikuoka, Naoki Fujimura, Yu Michiura, Tomohiro Kamagata, Yumi Tsuchiya, Shiho Irino, Motojiro Takebe, Yoko Sugawara, Satoshi Ohtsubo, Kazuhiko Sekine

  KEYWORDS: Acute Aortic Dissection, Cardiac Tamponade, Cardiopulmonary Arrest on Arrival, Retrograde Stanford Type A Aortic Dissection, r-TAAD, Thoracic Endovascular Aortic Repair, TEVAR

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.10 No.11, November 17, 2021

  ABSTRACT: Background and Aim: Reports on recovery from Stanford type A aortic dissection (TAAD) leading to cardiopulmonary arrest (CPA) are few. In retrograde TAAD (r-TAAD) cases, some authors reported the efficacy of thoracic endovascular aortic repair (TEVAR). However, only a few reports chose TEVAR for the treatment of r-TAAD resulting in cardiac arrest before hospital arrival. We report a case of r-TAAD presenting with cardiac arrest before hospital arrival not indicated for surgery but TEVAR as treatment. Case: A 65-year-old woman with a history of Marfan syndrome presented to the emergency department after a CPA. Sequential return of spontaneous circulation was achieved 27 min after CPA. Contrast-enhanced computed tomography showed retrograde r-TAAD with an entry tear to the false lumen in the thoracic descending aorta. Therefore, thoracic endovascular aortic repair (TEVAR) was performed with r-TAAD. Afterward, the clinical course was stabilized. This patient suggests that TEVAR is an effective option for the treatment of patients with hemodynamically unstable r-TAAD, even after CPA. Conclusion: TEVAR can lead to a successful recovery from cardiac arrest due to r-TAAD.