Painless retrograde type A aortic dissection followed conservative treatment of type B aortic dissection: a case report

• Main Authors: Yongle Ruan, Zhiwei Wang, Zhiyong Wu, Wei Ren, Zongli Ren, Anfeng Yu, Mohamed Rahouma
• Format: Article
• Language: English
• Published: BMC 2020-01-01
• Series: BMC Cardiovascular Disorders
• Subjects: Retrograde type a aortic dissection; Painless; Open surgical procedure
• Online Access: https://doi.org/10.1186/s12872-020-01331-5

Abstract Background Retrograde type A aortic dissection (RTAD) is a fatal aortic disease secondary to descending aortic dissection, and might be misdiagnosed due to its atypical symptoms lead to catastrophic outcomes. Case presentation We herein reported a case of a 40-year old Chinese non-comorbid man who received conservative treatment for acute type B aortic dissection and progressed to RTAD in a painless manner in a week. After open surgical aortic repair with stented elephant truck technique, the patient survived without obvious complication and cured with a satisfactory outcome in a half-year follow-up. Conclusion This case indicates that RTAD may present without typical symptoms, early diagnosis and open surgical procedure are imperative for treating RTAD.