title: Spot stenting of the tear in type B aortic dissection.
abstract: BACKGROUND
  In selected type B acute aortic dissection with aortic growth and patent false lumen, an intervention may be required to prevent aortic rupture. Apart from stent grafting of the thoracic aorta, aimed at occluding the primary intimal tear, some have advocated closure of reentry tears by stent grafting of the aortic true lumen after hybrid revascularization of the excluded viscera or by branched aortic endografts.
  
  
  METHODS
  We describe a simple technique for occluding a major reentry tear in the visceral abdominal aorta, using on-the-shelf covered stent grafts, arising from the aortic true lumen, crossing the dissection septum tear and aortic false lumen, and being distally anchored in the visceral branch vessel, acting as a rivet on the dissection septum tear, achieving aortic false lumen thrombosis.
  
  
  RESULTS
  In selected cases, we achieved aortic false lumen thrombosis by spot stenting of the tear.
  
  
  CONCLUSIONS
  This spot stenting technique may be a useful way of achieving complete false lumen thrombosis or lowering the false lumen pressure of degenerating dissecting aneurysms.
authors.affiliation: Department of Cardiovascular Surgery, Public Assistance-Hospitals of Paris, Hospital European Georges Pompidou, Paris, France. alain.bel@egp.aphp.fr
authors.forename: Alain
authors.initials: A
authors.lastname: Bel
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Alsac
authors.forename: Valentine
authors.initials: V
authors.lastname: Baïssas
authors.forename: Pierre
authors.initials: P
authors.lastname: Julia
authors.forename: Jean-Noël
authors.initials: JN
authors.lastname: Fabiani
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents