Endovascular stenting of descending aorta for retrograde type A dissection

Surgical interposition graft replacement of the ascending aorta, irrespective of antegrade or retrograde type, has traditionally been the standard treatment of all type A aortic dissection. However, open aortic repair carries high surgical risks and mortality. Recent studies showed that endovascular stenting for retrograde type of aortic dissection might have a high success rate and is considered to be less invasive. We report a case of type A aortic dissection, who was diagnosed to be retrograde type according to a 3-D reconstruction computed tomography scan and was managed successfully with endovascular stenting in the proximal descending aorta. Complete resolution of the false lumen in the ascending and descending aorta was achieved 2 years after the stenting.