title: Repair of Acute Type B Aortic Dissection Complicated by Aortic Rupture with Debranching Thoracic Endovascular Aortic Repair and Left Subclavian Artery Occlusion Using Amplatzer Vascular Plug II.
abstract: An 88-year-old man with severe chest pain and syncope was admitted to our hospital. Contrast-enhanced computed tomography (CT) revealed acute type B aortic dissection with rupture. Considering age and operative risk, we performed emergency thoracic aortic endovascular repair with two-debranching of the left common carotid and left subclavian arteries. To prevent type II endoleak, we used Amplatzer Vascular Plug (AVP) II for left subclavian artery embolization. Postoperative contrast-enhanced CT showed no type II endoleak and rupture site exclusion. As postoperative persistent blood flow to the primary entry or rupture site causes re-rupture, AVP II was crucial in preventing type II endoleak.
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Iida
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan.
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Ito
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan.
authors.forename: Sachiko
authors.initials: S
authors.lastname: Hayashi
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan.
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Takahashi
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan.
authors.forename: Takahiko
authors.initials: T
authors.lastname: Misumi
authors.affiliation: Department of Cardiovascular Surgery, Keio University, Tokyo, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Hachiya
authors.affiliation: Department of Cardiovascular Surgery, Keio University, Tokyo, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Shimizu
keywords: aortic dissection; endovascular procedures