Chang G, Wang H, Chen W, Yao C, Li Z, Wang S. Endovascular repair of a type B aortic dissection with a ventricular septal defect occluder.
J Vasc Surg 2010;
51:1507-9. [PMID:
20223624 DOI:
10.1016/j.jvs.2010.01.025]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2009] [Revised: 12/29/2009] [Accepted: 01/01/2010] [Indexed: 10/19/2022]
Abstract
We report a successful endovascular repair of a type B aortic dissection (TB-AD) with a ventricular septal defect (VSD) occluder. In a 39-year-old male patient with TB-AD, the proximal entry tear was 5 mm distal to the orifice of the left subclavian artery (LSA). Ascending aorta-left common carotid artery (LCCA)-LSA bypass was performed, followed by obliterating the proximal entry tear with a VSD occluder endovascularly. One-month follow-up computed tomography angiography showed optimal position of the VSD occluder, absence of leak, complete false lumen thrombosis in the thoracic segment, expansion of the true lumen, and shrinkage of the false lumen.
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