Abstract
Objective: Thoracic endovascular aortic repair (TEVAR) is particularly indicated in a patient with complicated type B dissection. The object of this communication is to report a case of deployment of the endograft in the false lumen, to propose a protocol in order to prevent it and discuss the possible surgical options when this complication has occurred. Methods: A case of complicated acute type B dissection is described where the endovascular prosthesis was positioned in the false lumen. The literature on the subject is briefly reviewed for the insertion techniques and conversion to surgery. Results: The occurrence was recognized and treated with replacement of the entire aorta from the sinotubular junction to a level of the eighth thoracic vertebra under deep circulatory arrest with selective antegrade cerebral perfusion. Conclusions: TEVAR for complicated type B dissection should be carried out according to a precise and stepwise protocol in institutions familiar with all the different options of conversion to open repair.
| Original language | English |
|---|---|
| Pages (from-to) | 597-599 |
| Number of pages | 3 |
| Journal | Interactive Cardiovascular and Thoracic Surgery |
| Volume | 10 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 2010 |
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Keywords
- Aortic dissection
- Endovascular procedures
- Stents
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Pulmonary and Respiratory Medicine
- Surgery
Cite this
Endovascular graft deployment in the false lumen of type B dissection. / Follis, Fabrizio; Filippone, Gianfranco; Stabile, Amerigo; Montalbano, Giuseppe; Floriano, Maria; Finazzo, Mario; Follis, Marco.
In: Interactive Cardiovascular and Thoracic Surgery, Vol. 10, No. 4, 04.2010, p. 597-599.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Endovascular graft deployment in the false lumen of type B dissection
AU - Follis, Fabrizio
AU - Filippone, Gianfranco
AU - Stabile, Amerigo
AU - Montalbano, Giuseppe
AU - Floriano, Maria
AU - Finazzo, Mario
AU - Follis, Marco
PY - 2010/4
Y1 - 2010/4
N2 - Objective: Thoracic endovascular aortic repair (TEVAR) is particularly indicated in a patient with complicated type B dissection. The object of this communication is to report a case of deployment of the endograft in the false lumen, to propose a protocol in order to prevent it and discuss the possible surgical options when this complication has occurred. Methods: A case of complicated acute type B dissection is described where the endovascular prosthesis was positioned in the false lumen. The literature on the subject is briefly reviewed for the insertion techniques and conversion to surgery. Results: The occurrence was recognized and treated with replacement of the entire aorta from the sinotubular junction to a level of the eighth thoracic vertebra under deep circulatory arrest with selective antegrade cerebral perfusion. Conclusions: TEVAR for complicated type B dissection should be carried out according to a precise and stepwise protocol in institutions familiar with all the different options of conversion to open repair.
AB - Objective: Thoracic endovascular aortic repair (TEVAR) is particularly indicated in a patient with complicated type B dissection. The object of this communication is to report a case of deployment of the endograft in the false lumen, to propose a protocol in order to prevent it and discuss the possible surgical options when this complication has occurred. Methods: A case of complicated acute type B dissection is described where the endovascular prosthesis was positioned in the false lumen. The literature on the subject is briefly reviewed for the insertion techniques and conversion to surgery. Results: The occurrence was recognized and treated with replacement of the entire aorta from the sinotubular junction to a level of the eighth thoracic vertebra under deep circulatory arrest with selective antegrade cerebral perfusion. Conclusions: TEVAR for complicated type B dissection should be carried out according to a precise and stepwise protocol in institutions familiar with all the different options of conversion to open repair.
KW - Aortic dissection
KW - Endovascular procedures
KW - Stents
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U2 - 10.1510/icvts.2009.223040
DO - 10.1510/icvts.2009.223040
M3 - Article
C2 - 20118121
AN - SCOPUS:77950644404
VL - 10
SP - 597
EP - 599
JO - Interactive Cardiovascular and Thoracic Surgery
JF - Interactive Cardiovascular and Thoracic Surgery
SN - 1569-9293
IS - 4
ER -