Complete Aortic Endovascular Repair

Ann Vasc Surg . 2021 Jul;74:523.e15-523.e18. doi: 10.1016/j.avsg.2021.01.101. Epub 2021 Apr 6.

Fecha de la publicación: 26/04/2021

Autor: Enrique M San Norberto (1), Noelia Cenizo (2), Cintia M Flota (2), Carlos Vaquero (2)

Palabras clave: Aorta, Dissecting aneurysm, Endovascular procedures, Minimally invasive surgical procedure.



1Division of Vascular Surgery, Valladolid University Hospital, Valladolid, Spain. Electronic address:

2Division of Vascular Surgery, Valladolid University Hospital, Valladolid, Spain.


Patients unfit for open repair after development a postdissection aortic arch and thoraco-abdominal aneurysm after open ascending aortic replacement for type A dissection would have no other treatment options. We report the case of a 75-year-old man with a type A aortic dissection treated by ascending aortic replacement. The patient presented an enlargement of the downstream aorta and thoraco-abdominal aneurysm 6-months after. This patient underwent a three-stage surgical sessions, open surgery for extraanatomical supra-aortic trunks reconstruction, endovascular branched treatment of ascending, arch and descending aorta and another one to perform an endovascular fenestrated reconstruction of thoraco-abdominal and infrarenal aorta.