Ravaux JM, Remy P, Detroux M, Torella F, Swaelens C. Thoraflex Graft in an Inverted Position for Post-Dissection Thoracoabdominal Aneurysm.
Ann Thorac Surg 2019;
107:e437-e439. [PMID:
30703368 DOI:
10.1016/j.athoracsur.2018.12.048]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Revised: 12/03/2018] [Accepted: 12/19/2018] [Indexed: 10/27/2022]
Abstract
We present the off-label use of a Thoraflex Hybrid Plexus prosthesis (Vascutek, Renfrewshire, Scotland, UK) to treat a post-dissection type IV thoracoabdominal aortic aneurysm (TAA) in a high-risk patient previously treated with a thoracic stent-graft for a chronic type B aortic dissection. The Thoraflex graft was used in a "reversed frozen elephant trunk" fashion: the stent graft portion deployed in the previously placed thoracic stent, and the branched portion used to revascularize visceral arteries and lower limbs. Our off-label use of the Thoraflex graft was technically successful. Further experiences are required to confirm the safety of this technique in high-risk patients.
Collapse