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Novel repair of acute Stanford type B aortic dissection using combined endovascular graft and transfemoral replacement of vascular plug |
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| Authors: | Mohammad Raiszadeh MD Azime Khosronejad MD Soroush Dianaty MD Batool Ghorbani Yekta PhD |
| Affiliation: | 1. Trauma Research Center, School of Medicine, Baqiyatallah Al-Azam Hospital, Baqiyatallah University of Medical Sciences, Tehran, Iran;2. Shahid Beheshti University of Medical Sciences, Tehran, Iran;3. Student Research Committee, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran;4. Department of Physiology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran |
| Abstract: | 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. |
| Keywords: | AMPLATZER septal occluder aortic dissection endovascular graft pseudoaneurysm TEVAR |