Expanding false lumen in the abdominal aorta 5 years after endovascular repair of a type B aortic dissection: Successful exclusion of 3 distal re-entry sites

被引:9
作者
Joung, B
Ko, YG
Park, SH
Lee, DY
Jang, Y
Lim, SH
Shim, WH
机构
[1] Yonsei Univ, Coll Med, Div Cardiol, Yonsei Cardiovasc Ctr, Seoul 120752, South Korea
[2] Inst Cardiovasc Res, Seoul, South Korea
[3] Yonsei Univ, Coll Med, Dept Diagnost Radiol, Seoul, South Korea
[4] Yonsei Univ, Coll Med, Dept Chest Surg, Seoul, South Korea
关键词
thoracic aorta; type B dissection; stent-graft; false lumen; entry tear; re-entry tear; secondary procedure;
D O I
10.1583/04-1266.1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Purpose: To report endovascular treatment of an expanding aneurysmal false lumen several years after successful stent-graft deployment in the descending thoracic aorta for type B aortic dissection. Case Report: A 54-year-old woman who had a stent-graft placed at the entry site of a type B aortic dissection 5 years prior presented with abdominal discomfort and palpable abdominal mass. Successful remodeling of the thoracic aorta was demonstrated by computed tomography; however, a false lumen aneurysm in the abdominal aorta had expanded from 4.8 to 6.5 cm and caused symptoms. She was successfully treated with 3 additional stent-grafts at 3 re-entry sites. Six months after the procedure, the false lumen aneurysm was completely excluded. Conclusions: Endovascular repair of the re-entry sites can prevent further expansion of false lumen aneurysm, which occurs in some patients with type B dissection treated with stent-grafts.
引用
收藏
页码:577 / 581
页数:5
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