Treatment of type-A aortic dissection using endoprosthesis occurring after coronary artery bypass surgery.

Type-A aortic dissection is a rare and often fatal complication following coronary artery bypass surgery (CABG). Corrective surgery seldom improves patient outcome. This report reviews and discusses endoprosthetic correction of type-A aortic dissection. A case of a transluminal correction of acute type-A aortic dissection one year after CABG in a 66-year-old male with a history of ischemic and severely compromised left ventricular function is presented. A prosthesis originally designed for the abdominal aorta was successfully used. Regular follow-up was performed and nearly 3 years post prosthesis implantation the patient is stable in New York Heart Association class II. To the authors' knowledge there are no other literature reports of endoprosthetic correction of a type-A aortic dissection in the context of CABG with saphenous grafts.