Endovascular repair of a type B aortic dissection with a ventricular septal defect occluder.
We report a successful endovascular repair of a type B aortic dissection (TB-AD) with a ventricular septal defect (VSD) occluder. In a 39-year-old male patient with TB-AD, the proximal entry tear was 5 mm distal to the orifice of the left subclavian artery (LSA). Ascending aorta-left common carotid artery (LCCA)-LSA bypass was performed, followed by obliterating the proximal entry tear with a VSD occluder endovascularly. One-month follow-up computed tomography angiography showed optimal position of the VSD occluder, absence of leak, complete false lumen thrombosis in the thoracic segment, expansion of the true lumen, and shrinkage of the false lumen.
Chang
Guangqi
G
Department of Vascular Surgery, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Wang
Huishen
H
Chen
Wei
W
Yao
Chen
C
Li
Zilun
Z
Wang
Shenming
S
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D017536:Carotid Artery, Common / Q000601:surgery; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation*