Endovascular graft deployment in the false lumen of type B dissection

Fabrizio Follis, Gianfranco Filippone, Amerigo Stabile, Giuseppe Montalbano, Maria Floriano, Mario Finazzo, Marco Follis

Research output: Contribution to journalArticle

10 Citations (Scopus)

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 languageEnglish
Pages (from-to)597-599
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Volume10
Issue number4
DOIs
Publication statusPublished - Apr 2010

Fingerprint

Dissection
Transplants
Thorax
Thoracic Vertebrae
Prostheses and Implants
Aorta
Perfusion

Keywords

  • Aortic dissection
  • Endovascular procedures
  • Stents

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Follis, F., Filippone, G., Stabile, A., Montalbano, G., Floriano, M., Finazzo, M., & Follis, M. (2010). Endovascular graft deployment in the false lumen of type B dissection. Interactive Cardiovascular and Thoracic Surgery, 10(4), 597-599. https://doi.org/10.1510/icvts.2009.223040

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 journalArticle

Follis, F, Filippone, G, Stabile, A, Montalbano, G, Floriano, M, Finazzo, M & Follis, M 2010, 'Endovascular graft deployment in the false lumen of type B dissection', Interactive Cardiovascular and Thoracic Surgery, vol. 10, no. 4, pp. 597-599. https://doi.org/10.1510/icvts.2009.223040
Follis, Fabrizio ; Filippone, Gianfranco ; Stabile, Amerigo ; Montalbano, Giuseppe ; Floriano, Maria ; Finazzo, Mario ; Follis, Marco. / Endovascular graft deployment in the false lumen of type B dissection. In: Interactive Cardiovascular and Thoracic Surgery. 2010 ; Vol. 10, No. 4. pp. 597-599.
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