Related Experiment Video
Updated: Jul 26, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Type Ib endoleak repaired with a thoracic endovascular graft inside previous visceral debranching bypass in a patient
Cristina Tello-Díaz1, Jose Maria Romero Carro1, Begoña Soto Carricas1
1Angiology, Vascular Biology and Inflammation Laboratory, and Department of Vascular and Endovascular Surgery, Sant Pau Institute of Biomedical Research, Universitat Autónoma de Barcelona, Barcelona; and the CIBER de Enfermedades Cardiovasculares, Instituto de Salud Carlos III, Madrid, Spain.
Abstract:
We present the case of a patient with chronic type B aortic dissection with a previous iliac to visceral debranching graft and thoracoabdominal endograft who, because of a type Ib endoleak and aortic diameter enlargement, required a complex solution involving placement of a thoracic endovascular graft inside a Dacron graft with a 180° curved shape in three-stage surgery. At 9 months of follow-up, he had no evidence of type I endoleaks, and the aortic diameter had decreased.

