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Vol.69 (2023) >

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Title: Staged hybrid repair for a patient with chronic type B aortic dissection
Authors: Seto, Yuki
Yokoyama, Hitoshi
Takase, Shinya
Fujimiya, Tsuyoshi
Shinjo, Hiroharu
Ishida, Keiichi
Affiliation: 心臓血管外科学講座
Source title: Fukushima Journal of Medical Science
Volume: 69
Issue: 2
Start page: 151
End page: 155
Issue Date: 2023
Abstract: Vascular prosthesis replacement and thoracic endovascular repair (TEVAR) are used to treat patients with enlarged chronic type B aortic dissection. A case in which thrombosis of the false lumen was achieved by the staged combination of these two methods is presented. A 41-year-old woman with a thoracoabdominal aortic aneurysm (maximum short diameter 44 mm) identified 5 years earlier was being monitored as an outpatient in our department when she presented with back pain. Computed tomography (CT) showed acute type B aortic dissection (DeBakey type IIIa), which was managed conservatively. When CT showed an aortic dissection with a patent false lumen immediately below the left subclavian artery bifurcation, one-debranching TEVAR was performed to close the entry, along with right axillary artery to left axillary artery bypass surgery. Outpatient CT at 3 months postoperatively showed rapid enlargement in the vicinity of the celiac artery. Thoracoabdominal aortic replacement to prevent rupture was performed, and the patient was then monitored as an outpatient. CT at age 43 years showed enlargement of the residual false lumen. Additional TEVAR was successfully performed. Thus, three-stage treatment was conducted to enlarge the residual false lumen, causing successful thrombosis of the false lumen.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/2162
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/2162/1/FksmJMedSci_69_p151.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.2022-24
PubMed ID: 37225454
Related Page: https://doi.org/10.5387/fms.2022-24
Rights: © 2023 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.69 (2023)

Files in This Item:

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FksmJMedSci_69_p151.pdf935.42 kBAdobe PDFDownload

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