title: Endovascular repair of a chronic arch dissecting aneurysm with a branched endograft.
abstract: Acute type A dissection requires emergent surgery that often includes ascending aorta replacement. Regular follow-up with computed tomography (CT) can identify aneurysmal dilatation of the false lumen distal to the open repair. Because redo operations can be high risk, we performed an endovascular repair on a patient deemed unfit for open operation using an aortic arch branched device with 2 internal branches for the innominate trunk and the left common carotid artery. This endovascular approach is a possible alternative to open surgical procedures in selected cases.
authors.affiliation: Department of Vascular Surgery, Hôpital Cardiologique, Centre Hospitalier Régional Universitaire de Lille, Lille, France.
authors.forename: Rafaëlle
authors.initials: R
authors.lastname: Spear
authors.forename: Adrien
authors.initials: A
authors.lastname: Kaladji
authors.forename: Blayne
authors.initials: B
authors.lastname: Roeder
authors.forename: Stephan
authors.initials: S
authors.lastname: Haulon
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002908:Chronic Disease; D057510:Endovascular Procedures; D005260:Female; D006801:Humans
keywords: 26