title: Description of a new technique for repairing chronic type B dissections that involve visceral branches being fed by both true and false lumen by using both lumens as conduits.
abstract: Here we present three cases performed using a novel technique where aortic flow is compartmentalized proximal to the target vessels through a physician-modified endograft. The visceral segment is then further compartmentalized by the use of another physician modified endograft. By compartmentalizing the flow proximal to the visceral segment, both the true lumen and false lumen can be used as conduits for coextensive bridging stent grafts. Overall, patients have tolerated this procedure extremely well, and while further study and follow-up must be conducted, this procedure could offer a reasonable long-term solution to thoracoabdominal aortic aneurysms complicated by dissection.
authors.affiliation: Sanford Research, Sioux Falls, SD, USA.
authors.forename: Joe
authors.initials: J
authors.lastname: Anderson
authors.affiliation: Sanford Research, Sioux Falls, SD, USA.
authors.forename: Tyler
authors.initials: T
authors.lastname: Remund
authors.affiliation: Sanford Research, Sioux Falls, SD, USA.
authors.forename: Katie
authors.initials: K
authors.lastname: Pohlson
authors.affiliation: Sanford Vascular Associates, Sioux Falls, SD, USA patrick.kelly@sanfordhealth.org.
authors.forename: Patrick
authors.initials: P
authors.lastname: Kelly
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D002908:Chronic Disease; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012039:Regional Blood Flow; D016896:Treatment Outcome
keywords: Chronic type B dissection; thoracoabdominal; visceral manifold