title: Proximal scalloped custom-made Relay® stent graft in chronic type B dissection: endovascular repair in a drug abuser patient.
abstract: The best solution for enlarging chronic type B aortic dissection is not known. Hybrid surgical and endovascular procedures offer a reliable solution in such circumstances, but technically complex stent-graft designs are sometimes needed when the treatment segment of the aorta presents anatomical challenges. We report a case of a proximally scalloped custom-made stent-graft implantation following left subclavian artery transposition in a formerly cocaine-abuser patient. The one-month follow-up computed tomography angiography showed a proximal endoleak (type Ia) which was successfully solved by coil embolization. Proximally scalloped stent grafts offer a reliable solution in complex aortic dissections involving the supra-aortic branches.
authors.affiliation: Department of Vascular Surgery, Semmelweis University , Budapest , Hungary.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szeberin
authors.affiliation: Department of Vascular Surgery, Semmelweis University , Budapest , Hungary.
authors.forename: Balázs
authors.initials: B
authors.lastname: Nemes
authors.affiliation: Department of Vascular Surgery, Semmelweis University , Budapest , Hungary.
authors.forename: Csaba
authors.initials: C
authors.lastname: Csobay-Novák
authors.affiliation: Department of Vascular Surgery, Semmelweis University , Budapest , Hungary.
authors.forename: Zsuzsa
authors.initials: Z
authors.lastname: Mihály
authors.affiliation: Department of Vascular Surgery, Semmelweis University , Budapest , Hungary.
authors.forename: László
authors.initials: L
authors.lastname: Entz
keywords: abdominal pain; aortic arch; drug abuse; emergency; endovascular repair; hybrid procedure; interventional radiology; new stent-graft device mesenteric cyst