98%
921
2 minutes
20
Persistent false lumen flow is common after thoracic endovascular aortic repair of type B aortic dissection and may contribute to continued aortic aneurysmal degeneration. We report an innovative technique of intercostal artery embolization within the false lumen for a patient who had incomplete false lumen thrombosis and progressive aortic enlargement after thoracic endovascular aortic repair of chronic type B aortic dissection. Technical success was facilitated by use of on-table cone beam computed tomography angiography, virtual vessel marking, and modern endovascular tools. The patient had no complications from the procedure. Postoperative imaging demonstrated complete thoracic false lumen thrombosis and favorable aortic remodeling with reduction in maximal aortic diameter.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7396825 | PMC |
http://dx.doi.org/10.1016/j.jvscit.2020.05.012 | DOI Listing |
J Vasc Surg
September 2025
Department of Cardiovascular Surgery, Uji Tokushukai Medical Center, 145 Ishibashi, Makishimacyo, Uji-city, Kyoto 611-0041, Japan.
Objective: It remains unclear whether the provisional extension to induce complete attachment (PETTICOAT) technique is superior to standard TEVAR for type B aortic dissection. This study evaluated the efficacy of the PETTICOAT technique for type B and postoperative residual type B aortic dissection in the subacute phase.
Methods: This single-center retrospective cohort study evaluated sequential aortic morphological changes in consecutive patients with uncomplicated type B and residual postoperative type B aortic dissection treated using the PETTICOAT technique in the subacute phase between March 2018 and March 2023.
Arq Bras Cardiol
September 2025
UNIVASF (Universidade Federal do Vale do São Francisco), Curso de Medicina, Paulo Afonso, BA - Brasil.
JACC Case Rep
September 2025
Department of Cardiology, Victorian Heart Hospital, Melbourne, Victoria, Australia.
A 76-year-old woman presented with anterolateral ST-segment elevation myocardial infarction complicated by incessant ventricular arrhythmia. Angiography did not find obstructive coronary disease. Echocardiography demonstrated "double valve sign," pathognomonic of aortic dissection, which was subsequently confirmed on computed tomography.
View Article and Find Full Text PDFAm J Cardiol
September 2025
Faculty of Medicine, Istanbul University, Istanbul, Turkey; Department of Cardiology, Acibadem International Hospital, Istanbul, Turkey. Electronic address:
Although physiologic evaluation (e.g., fractional flow reserve) of intermediate lesions is well established in other coronary arteries, the left main coronary artery (LMCA) exhibits diagnostic challenges, hindering development of physiology-based decision-making algorithms.
View Article and Find Full Text PDFCureus
July 2025
Cardiovascular Surgery, Kushiro City General Hospital, Kushiro, JPN.
A 65-year-old man presented with Stanford type B aortic dissection complicated by rupture of the distal aortic arch, originating from the false lumen. Due to the short distance between the supra-aortic branches, the lack of peripheral access from malperfusion, and the invasiveness of combined arch and descending aortic replacement via left thoracotomy, emergency total arch replacement with a frozen elephant trunk was chosen to close the primary entry and control the rupture. However, intraoperative deployment of the prosthesis into the false lumen was suspected due to increasing bleeding and transesophageal echocardiographic findings.
View Article and Find Full Text PDF