title: [Closure of Ascending Aortic Entry by Debranching Endovascular Management in an Elderly Patient with Acute Stanford Type A Dissection].
abstract: An 85-year-old woman was hospitalized by emergency for an acute Stanford type A aortic dissection. Computed tomography showed a primary entry on the ascending aorta and pericardial effusion. Although her hemodynamics was unstable due to cardiac shock, her family wished no open surgery considering her age and frailty. A couple of days later, her condition became stabilized with antihypertensive therapy. Since the dissection was limited within the ascending aorta, closure of the entry with the stentgraft was considered appropriate and much less invasive as compared with an open surgery. After obtaining informed consent with her family, thoracic endovascular aortic repair was performed with Gore C-TAG with 2-debranch. The procedure was completed without complications and the entry closure was confirmed by aortography. Her postoperative course was uneventful. Her physical activity restored to the preoperative level and she was discharged.
authors.affiliation: Department of Endovascular Treatment for Structural Heart and Aortic Disease, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
authors.forename: Munehiro
authors.initials: M
authors.lastname: Saiki
authors.forename: Keiji
authors.initials: K
authors.lastname: Yunoki
authors.forename: Naoya
authors.initials: N
authors.lastname: Sakoda
authors.forename: Shigeru
authors.initials: S
authors.lastname: Hattori
authors.forename: Gaku
authors.initials: G
authors.lastname: Uchino
authors.forename: Takuya
authors.initials: T
authors.lastname: Kawabata
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Fujita
authors.forename: Kunikazu
authors.initials: K
authors.lastname: Hisamochi
authors.forename: Hideo
authors.initials: H
authors.lastname: Yoshida
mesh_terms: D000208:Acute Disease; D000369:Aged, 80 and over; D001011:Aorta / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome