Korean J Thorac Cardiovasc Surg.
2018 Aug;51(4):286-289. 10.5090/kjtcs.2018.51.4.286.
Favorable Aortic Remodeling Following Serial False Lumen Procedures in a Case of Chronic Type IIIb Dissection
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Korea. sevraphd@yuhs.ac
- 2Department of Vascular Surgery, Mansoura University Hospital, Mansoura University Faculty of Medicine, Korea.
- 3Department of Interventional Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Korea.
- KMID: 2418588
- DOI: http://doi.org/10.5090/kjtcs.2018.51.4.286
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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