Novel repair of acute Stanford type B aortic dissection using combined endovascular graft and transfemoral replacement of vascular plug.
Mohammad RaiszadehAzime KhosronejadSoroush DianatyBatool Ghorbani YektaPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2023)
We present successful treatment of dissected thoracoabdominal aorta using combined thoracic endovascular aortic repair and transfemoral replacement of Amplatzer™ vascular plug in a 38-year-old patient. Computed tomography angiography revealed a false lumen from the left subclavian artery to the left common iliac trunk, with re-entries connecting it to the true lumen of the aorta. We replaced the prosthetic endovascular graft just below the left subclavian artery to the top of the superior mesenteric artery. Amplatzer™ vascular plug was replaced below the diaphragm in a closed transfemoral procedure to prevent re-entry. The patient was discharged in good condition and 2 years postoperation imaging showed complete pseudoaneurysm closure.
Keyphrases
- aortic dissection
- transcatheter aortic valve implantation
- transcatheter aortic valve replacement
- aortic valve replacement
- aortic valve
- case report
- aortic stenosis
- left atrial appendage
- high resolution
- coronary artery
- ultrasound guided
- endovascular treatment
- magnetic resonance imaging
- minimally invasive
- coronary artery disease
- pulmonary artery
- computed tomography
- atrial fibrillation
- spinal cord injury
- mass spectrometry
- ejection fraction
- drug induced
- fluorescence imaging