Treatment of chronic aortic type A dissection with a new designed hybridprosthesis.
This report describes the use of a new combined surgical and endovascular treatment for chronic type A aortic dissection after Cabrol operation. Intraoperative antegrade stenting of the descending aorta combined with distal ascending aorta and aortic arch repair was performed using the E-vita open endoluminal stentgraft. The stentgraft was deployed under direct vision into the true lumen. Postperative CT scan revealed a partially thrombosed false lumen. This report shows that a combined surgical and endovascular approach of chronic type A aortic dissection in a single stage procedure is a feasible option and extends aortic repair without increase of risk.
Gorlitzer
Michael
M
Department of Cardiovascular Surgery, Hospital Hietzing, Vienna, Austria. michael.gorlitzer@wienkav.at
Wislocki
Wojciech
W
Meinhart
Johann
J
Grabenwoger
Martin
M
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D002908:Chronic Disease; D005260:Female; D006801:Humans; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed