Stented balloon fenestration before entry repair using the frozen elephant trunk technique for chronic aortic dissection.

Abstract:

:Endovascular fenestration on the abdominal aorta is effective for preventing visceral malperfusion in aortic dissection. We report a case of stented balloon fenestration before residual entry repair using the frozen elephant trunk technique for chronic aneurysmal dissection after ascending aortic replacement for DeBakey I aortic dissection. We recognized poor communication between the true lumen and false lumen in the abdominal aorta, and visceral perfusion depended almost entirely on the proximal large entry. Therefore, we scheduled catheter angioplasty on the small re-entry before upstream entry closure. After balloon angioplasty using a PTA catheter, a 10-mm × 4-cm self-expandable stent was deployed at the re-entry. We performed open surgery 5 days after angioplasty. Computed tomography after entry repair showed complete thrombosis of the false lumen on the descending aorta, and the celiac and superior mesenteric arteries were supplied via the abdominal re-entry stent. Stented balloon fenestration before entry repair using frozen elephant trunk with chronic aortic dissection was effective for preventing visceral malperfusion.

authors

Uchida N,Yamane Y,Furukawa T

doi

10.1093/icvts/ivx339

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

333-334

issue

2

eissn

1569-9293

issn

1569-9285

pii

4372427

journal_volume

26

pub_type

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