5-Year Follow-Up of Endovascular Management in a Patient with Chronic Concomitant DeBakey Type II and IIIa Aortic Dissection.
Taofan TaofanIwan DakotaSuko AdiartoSuci IndrianiSugisman SugismanAsmoko Resta PermanaChang ShuPublished in: The International journal of angiology : official publication of the International College of Angiology, Inc (2022)
The incidence of chronic concomitant DeBakey Type II and IIIa aortic dissection is uncommon and complex. Since the mortality rate is very high, it requires a precise and holistic treatment plan. In some cases, when the patients refuse to undergo open surgery or the patients' condition is not suitable for open surgery, thoracic endovascular aortic repair (TEVAR) is the recommended therapeutic approach. In this case, a patient refused to undergo open surgery and chose TEVAR instead. The patient survived the procedure and lived for years. We present the case of a successful TEVAR procedure in a patient with chronic concomitant DeBakey Type II and IIIa aortic dissection in a 51-year-old man and the 5-year postoperative follow-up of the patient's condition.
Keyphrases
- aortic dissection
- minimally invasive
- case report
- end stage renal disease
- ejection fraction
- newly diagnosed
- coronary artery bypass
- chronic kidney disease
- peritoneal dialysis
- prognostic factors
- patients undergoing
- spinal cord
- risk factors
- type diabetes
- acute coronary syndrome
- cardiovascular events
- atrial fibrillation
- patient reported outcomes
- replacement therapy
- smoking cessation