title: Embolization of persistent false lumen through reentry tear in a patient who underwent hemiarch replacement operation due to type A dissection.
abstract: We used endovascular techniques to treata 67-year-old male patient who had a persistent false lumen (FL) owing to a remnant tear at the ascending aorta after a hemiarch replacement operation. Attempted insertion of a catheter into the tear site in the ascending aorta failed because of the anatomic difficulty. However, an alternative FL pathway was made to reach the opening site by entering the reentry tract. Complete thrombosis of FL with coils and vascular plug was achieved. The FL channel can be used as an alternative pathway to allow a catheter to reach the tear site of the proximal aorta.
authors: Division of Cardiology, Sejong General Hospital, Bucheon-si, Gyeongi-Do, Korea.
authors: Tae-Hoon
authors: TH
authors: Kim
authors: Division of Cardiology, Sejong General Hospital, Bucheon-si, Gyeongi-Do, Korea.
authors: Ji Hye
authors: JH
authors: Lee
authors: Division of Cardiology, Sejong General Hospital, Bucheon-si, Gyeongi-Do, Korea. Electronic address: whshim@yuhs.ac.
authors: Won-Heum
authors: WH
authors: Shim
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D017541:Aneurysm, False / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*