Uncovered stent-graft in the treatment for residual patent false lumen after surgical repair for acute type A aortic dissection.
Patent false lumen after surgery for acute type A aortic dissection (AAAD) influences the outcome with increased risk of aortic rupture and visceral malperfusion. We report a case of a patient previously operated on for aortic valve repair and replacement of the ascending aorta because of AAAD, presenting at follow-up with a retrograde dissection in aortic arch, persistent patent false lumen and significative aortic enlargement. An extensive (arch and thoraco-abdominal aorta) successful repair was performed using uncovered stent grafts. We welcome discussion on the real indication of this alternative approach and advantages and disadvantages on mid-/long-term follow-up.
Department of Experimental and Clinical Medicine, University Magna Graecia, Viale Europa, 88100 Catanzaro, Italy. mastroroberto@unicz.it
Pasquale
P
Mastroroberto
Massimo
M
Chello
Gabriele
G
Jannelli
Elvio
E
Covino
D000208:Acute Disease; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017541:Aneurysm, False / Q000175:diagnosis / Q000628:therapy*; D000792:Angiography / Q000379:methods; D017130:Angioplasty / Q000379:methods; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D015150:Echocardiography, Doppler / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D011474:Prosthesis Design; D018570:Risk Assessment; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology