Modified ‘candy-plug’ technique for chronic type B aortic dissection with aneurysmal dilatation: a case report
| Autor: | Yoshito Inoue, Mio Kasai, Sohsyu Kotani, Takashi Hachiya, Satoru Suzuki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Computed Tomography Angiography lcsh:Surgery Lumen (anatomy) Case Report 030204 cardiovascular system & hematology lcsh:RD78.3-87.3 03 medical and health sciences Candy-plug technique Imaging Three-Dimensional 0302 clinical medicine Aneurysm Blood vessel prosthesis Endovascular repair medicine.artery Occlusion Ascending aorta medicine Humans Computed tomography angiography Aortic dissection Aortic Aneurysm Thoracic medicine.diagnostic_test business.industry Residual type B aortic dissection with aneurysmal dilatation Endovascular Procedures General Medicine lcsh:RD1-811 Middle Aged medicine.disease Blood Vessel Prosthesis Surgery Aortic Dissection 030228 respiratory system lcsh:Anesthesiology Descending aorta Chronic Disease cardiovascular system Radiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiothoracic Surgery, Vol 12, Iss 1, Pp 1-5 (2017) Journal of Cardiothoracic Surgery |
| ISSN: | 1749-8090 |
| DOI: | 10.1186/s13019-017-0647-8 |
| Popis: | Background The original ‘candy-plug’ technique has been reported to be beneficial for the treatment of residual perfused false lumen in patients with aortic dissection. However, this technique is also associated with several problems, such as narrowing of the true lumen and damage to the flap or vessel wall. Therefore, we modified the procedure to overcome these problems. Here we report a case in which the patient was successfully treated using the modified procedure. Case presentation A 59-year-old man presented with chronic type B aortic dissection with aneurysmal dilatation. The patient had undergone prosthetic graft replacement of the ascending aorta for acute type A aortic dissection 3 years previously and replacement of the descending aorta for residual type B aortic dissection with aneurysmal dilatation 1 year previously. After these procedures, the residual false lumen aneurysm of the distal descending aorta expanded to 57-mm in diameter. Endovascular stent grafting was successfully performed using the modified ‘candy-plug’ technique with relining of the true lumen and occlusion of the false lumen. The patient was discharged 10 days after the procedure. Follow-up imaging at 1 year showed a completely thrombosed false lumen aneurysm. Conclusion The modified ‘candy-plug’ technique is useful for treatment of residual type B aortic dissection with aneurysmal dilatation. |
| Databáze: | OpenAIRE |
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