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DOI: 10.1055/s-0029-1185875
© Georg Thieme Verlag KG Stuttgart · New York
Staged Hybrid Approach to Chronic Type B Aortic Dissection Involving the Distal Arch Associated with Aortic Root Aneurysm
Publication History
received March 30, 2009
Publication Date:
13 January 2010 (online)
![](https://www.thieme-connect.de/media/thoracic/201001/lookinside/thumbnails/10.1055-s-0029-1185875-1.jpg)
Abstract
Open surgical repair of complex aortic pathologies using cardiopulmonary bypass and deep hypothermic circulatory arrest still carries a substantial rate of mortality and morbidity. Endovascular stent-graft placement has developed as a safe and effective treatment modality for various diseases of the aorta. We report on the case of a 65-year-old female presenting with symptomatic type B aortic dissection with aneurysm of the ascending aorta and the aortic root. The patient was treated with a flanged composite graft custom made from a branched 24-mm Dacron graft for entire prosthetic transposition of the supra-aortic branches. Metachronously, the patient underwent endovascular stent-grafting of the descending aorta. She was discharged free of complications on day 10.
Key words
Aortic disease - cardiovascular surgery - heart valve surgery
References
- 1 Estrera A L, Miller 3rd C C, Porat E E, Huynh T T, Winnerkvist A, Safi H J. Staged repair of extensive aortic aneurysms. Ann Thorac Surg. 2002; 74 S1803-S1805
- 2 Yano H, Ishimaru S, Kawaguchi S, Obitsu Y. Endovascular stent grafting of the descending thoracic aorta after arch repair in acute type A dissection. Ann Thorac Surg. 2002; 73 288-291
- 3 Yakut C. A new modified Bentall technique: the flanged technique. Ann Thorac Surg. 2001; 71 2050-2052
- 4 Czerny M, Fleck T, Zimpfer D et al. Risk factors of mortality and permanent neurologic injury in patients undergoing ascending aortic and arch repair. J Thorac Cardiovasc Surg. 2003; 126 1296-1301
- 5 Gottardi R, Seitelberger R, Zimpfer D et al. An alternative approach in treating an aortic arch aneurysm with an anatomic variant by supraaortic reconstruction and stent-graft placement. J Vasc Surg. 2005; 42 357-360
- 6 Weigang E, Parker J, Czerny M I et al. Endovascular aortic arch repair after aortic arch de-branching. Ann Thorac Surg. 2009; 87 603-607
- 7 Goksel O S, Tireli E, Kalko Y et al. Mid-term outcome with surgery for type B aortic dissections: a single center experience. J Card Surg. 2008; 23 27-30
Dr. MD Onur S. Göksel
Cardiovascular Surgery
Istanbul University, Istanbul Medical Faculty
CAPA
Aksaray, Istanbul 80630
Turkey
Phone: + 90 2 12 41 420 00
Fax: + 90 21 63 49 91 20
Email: onurgokseljet@gmail.com