Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Favorable Aortic Remodeling Following Serial False Lumen Procedures in a Case of Chronic Type IIIb Dissection

  • Eleshra, Ahmed Sameh (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Heo, Woon (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Kwang-Hun (Department of Interventional Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Shin-Young (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Ha (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Song, Suk-Won (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • Received : 2017.09.25
  • Accepted : 2018.05.02
  • Published : 2018.08.05
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Abstract

We report a case of acute type I aortic dissection in which an emergency graft replacement of the ascending aorta and innominate artery was performed. We performed false lumen thrombosis through hybrid thoracic endovascular aortic repair to seal the primary entry tear, followed by false lumen obliteration at the level of the descending thoracic aorta, abdominal aorta, and right common iliac artery. Over a period of 4.5 years, we used Amplatzer vascular plugs and coils based on our computed tomography angiography follow-up protocol.

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References

  1. Song SW, Chang BC, Cho BK, et al. Effects of partial thrombosis on distal aorta after repair of acute DeBakey type I aortic dissection. J Thorac Cardiovasc Surg 2010;139:841-7. https://doi.org/10.1016/j.jtcvs.2009.12.007
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  3. Song SW, Kim TH, Lim SH, Lee KH, Yoo KJ, Cho BK. Prognostic factors for aorta remodeling after thoracic endovascular aortic repair of complicated chronic DeBakey IIIb aneurysms. J Thorac Cardiovasc Surg 2014;148:925-33. https://doi.org/10.1016/j.jtcvs.2014.05.040
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  6. Kim TH, Song SW, Lee KH, Baek MY, Yoo KJ. Effects of false lumen procedures on aorta remodeling of chronic DeBakey IIIb aneurysm. Ann Thorac Surg 2016;102:1941-7. https://doi.org/10.1016/j.athoracsur.2016.05.036

Cited by

  1. Aortic Remodeling After Custom-Made Candy-Plug for Distal False Lumen Occlusion in Aortic Dissection vol.28, pp.3, 2018, https://doi.org/10.1177/1526602821996722