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

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 celi...

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Autores principales: Mansukhani, Neel A., Chia, Matthew C., Wallace, Gabriel A., Hoel, Andrew W., Eskandari, Mark K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261945/
https://www.ncbi.nlm.nih.gov/pubmed/32490298
http://dx.doi.org/10.1016/j.jvscit.2020.03.005
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author Mansukhani, Neel A.
Chia, Matthew C.
Wallace, Gabriel A.
Hoel, Andrew W.
Eskandari, Mark K.
author_facet Mansukhani, Neel A.
Chia, Matthew C.
Wallace, Gabriel A.
Hoel, Andrew W.
Eskandari, Mark K.
author_sort Mansukhani, Neel A.
collection PubMed
description 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.
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spelling pubmed-72619452020-06-01 Thoracic endovascular aortic repair with true-false-true lumen deployment Mansukhani, Neel A. Chia, Matthew C. Wallace, Gabriel A. Hoel, Andrew W. Eskandari, Mark K. J Vasc Surg Cases Innov Tech Innovative technique 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. Elsevier 2020-05-28 /pmc/articles/PMC7261945/ /pubmed/32490298 http://dx.doi.org/10.1016/j.jvscit.2020.03.005 Text en © 2020 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Innovative technique
Mansukhani, Neel A.
Chia, Matthew C.
Wallace, Gabriel A.
Hoel, Andrew W.
Eskandari, Mark K.
Thoracic endovascular aortic repair with true-false-true lumen deployment
title Thoracic endovascular aortic repair with true-false-true lumen deployment
title_full Thoracic endovascular aortic repair with true-false-true lumen deployment
title_fullStr Thoracic endovascular aortic repair with true-false-true lumen deployment
title_full_unstemmed Thoracic endovascular aortic repair with true-false-true lumen deployment
title_short Thoracic endovascular aortic repair with true-false-true lumen deployment
title_sort thoracic endovascular aortic repair with true-false-true lumen deployment
topic Innovative technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261945/
https://www.ncbi.nlm.nih.gov/pubmed/32490298
http://dx.doi.org/10.1016/j.jvscit.2020.03.005
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