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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Modified 'candy-plug' technique for chronic type B aortic dissection with aneurysmal dilatation: a case report.

Sohsyu Kotani¹, Yoshito Inoue², Mio Kasai²

¹Department of Cardiovascular Surgery, Hiratsuka City Hospital, Kanagawa, Japan. sohsyu_k@yahoo.co.jp.

Journal of Cardiothoracic Surgery

|September 6, 2017

Summary

A modified candy-plug technique successfully treated a patient with residual type B aortic dissection and aneurysm. This improved endovascular repair for complex aortic conditions.

Keywords:

Candy-plug technique Endovascular repair Residual type B aortic dissection with aneurysmal dilatation

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Area of Science:

Cardiovascular Surgery
Endovascular Therapy
Aortic Disease Management

Background:

The original 'candy-plug' technique aids residual false lumen treatment in aortic dissection but has limitations.
Problems include true lumen narrowing and potential damage to aortic structures.
A modified procedure was developed to address these issues.

Observation:

A 59-year-old man with chronic type B aortic dissection and a 57mm aneurysm underwent prior aortic surgeries.
The patient received endovascular stent grafting using a modified 'candy-plug' technique.
The procedure involved relining the true lumen and occluding the false lumen.

Findings:

The modified 'candy-plug' technique was successfully applied in this complex case.
The patient was discharged 10 days post-procedure.
One-year follow-up demonstrated complete thrombosis of the false lumen aneurysm.

Implications:

The modified 'candy-plug' technique offers a viable solution for residual type B aortic dissection with aneurysmal dilatation.
This approach may improve outcomes and reduce complications associated with aortic dissection repair.
Further studies are warranted to evaluate the long-term efficacy of this modified technique.