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 language | English (US) |
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Pages (from-to) | 254-258 |
Number of pages | 5 |
Journal | Journal of Vascular Surgery Cases and Innovative Techniques |
Volume | 6 |
Issue number | 2 |
DOIs | |
State | Published - Jun 2020 |
Keywords
- Aortic dissection
- False lumen
- TEVAR
- Thoracic aneurysm
- Type B dissection
ASJC Scopus subject areas
- Surgery
- Cardiology and Cardiovascular Medicine