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Endovascular solution in a complex post-dissectional thoracic aortic aneurysm case.

İbrahim Duvan¹, Süleyman Sürer¹, Aygül Melike Şenkal¹

¹Department of Cardiovascular Surgery, Health Sciences University, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.

Turk Gogus Kalp Damar Cerrahisi Dergisi

|January 31, 2022

Summary

This summary is machine-generated.

Endovascular repair of complex thoracic aortic aneurysms is feasible. A stepwise approach using techniques like candy-plug thrombosis can achieve false lumen obliteration and true lumen expansion in select patients.

Keywords:

Dissecting aneurysm embolization endovascular procedures stent thoracic aorta

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A New Murine Model of Endovascular Aortic Aneurysm Repair

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Area of Science:

Cardiovascular Surgery
Endovascular Interventions
Thoracic Aortic Disease

Background:

Post-dissectional thoracic aortic aneurysms (TAA) present complex endovascular challenges.
Previous interventions like Bentall operation and thoracic endovascular aortic repair (TEVAR) can complicate subsequent treatments.

Observation:

A 45-year-old male with a post-dissectional TAA exhibited retrograde false lumen filling despite prior repairs.
Initial endovascular procedures including stent graft extension and balloon-induced intimal disruption achieved true lumen expansion but failed to halt aneurysm growth due to persistent false lumen perfusion.

Findings:

A subsequent 'candy-plug' technique was employed to achieve total false lumen thrombosis.
This stepwise approach successfully addressed persistent false lumen perfusion and aneurysm expansion.

Implications:

Endovascular management of complex post-dissectional thoracic aortic aneurysms is achievable in specialized centers.
A tailored, stepwise endovascular strategy, including techniques for false lumen thrombosis, offers a viable treatment option for anatomically suitable patients with this often fatal condition.