Total debranching and endovascular aortic repair (46-42-200 Bolton RelayPro) were performed in a fragile 69-year-old patient to treat a 65-mm arch aneurysm (A). Three-months postoperatively (B), an asymptomatic retrograde dissection involving the ascending aorta (46×49 mm) was detected at the Computed Angio Tomography (CTA). Because of his comorbidities, he was conservatively managed and died from pulmonary carcinoma 2 years thereafter (C).
Figure 1:

Total debranching and endovascular aortic repair (46-42-200 Bolton RelayPro) were performed in a fragile 69-year-old patient to treat a 65-mm arch aneurysm (A). Three-months postoperatively (B), an asymptomatic retrograde dissection involving the ascending aorta (46×49 mm) was detected at the Computed Angio Tomography (CTA). Because of his comorbidities, he was conservatively managed and died from pulmonary carcinoma 2 years thereafter (C).

FUNDING

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DATA AVAILABILITY

The data underlying this article will be shared on reasonable request to the corresponding author.

REVIEWER INFORMATION

European Journal of Cardio-Thoracic Surgery thanks Enrico Gallitto and the other anonymous reviewers for their contribution to the peer review process of this article.

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