Thoracic endovascular aortic repair with true-false-true lumen deployment

Neel A. Mansukhani, Matthew C. Chia, Gabriel A. Wallace, Andrew W. Hoel, Mark K. Eskandari*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Endovascular treatment of aortic dissection may be complicated by challenges to navigating the true lumen. In this report, we describe treatment of a type B dissection after open type A repair with aneurysmal degeneration, a short-segment occluded true lumen, and a distal re-entry tear near the celiac artery origin. Endovascular septal fenestration and subsequent thoracic endovascular aortic repair were used to bypass the short-segment midthoracic aortic occlusion, successfully excluding the thoracic aortic aneurysm. The patient was discharged without complications, and follow-up imaging demonstrated favorable aortic remodeling. The case demonstrates feasibility of an endovascular bypass of an intervening short-segment occluded true lumen using a thoracic endovascular aortic repair with true-false-true lumen deployment.

Original languageEnglish (US)
Pages (from-to)254-258
Number of pages5
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume6
Issue number2
DOIs
StatePublished - Jun 2020

Keywords

  • Aortic dissection
  • False lumen
  • TEVAR
  • Thoracic aneurysm
  • Type B dissection

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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