Endovascular Stent-Graft Repair of Ascending Aortic Dissection With a Commercially Available Thoracic Endograft

We describe the endovascular treatment of a type A thoracic aortic dissection (TAAD) in a patient deemed unfit for surgical repair with a commercially available thoracic endograft. A patient with a symptomatic acute TAAD, multiple medical comorbidities, and ascending thoracic aortic and arch dilatio...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 98; no. 2; pp. 715 - 717
Main Authors Atianzar, Kimberly, MD, Mohamad, Almois, MD, Galazka, Patrycja, MD, Keller, V. Antoine, MD, Delafontaine, Patrice, MD, Sam, Albert D., MD
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.08.2014
Subjects
Aged
Aneurysm, Dissecting - surgery
Aortic Aneurysm, Thoracic - surgery
Cardiothoracic Surgery
Endovascular Procedures
Humans
Male
Stents
Surgery
26
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Summary:We describe the endovascular treatment of a type A thoracic aortic dissection (TAAD) in a patient deemed unfit for surgical repair with a commercially available thoracic endograft. A patient with a symptomatic acute TAAD, multiple medical comorbidities, and ascending thoracic aortic and arch dilation underwent successful endovascular repair with the use of a commercially available stent graft, resulting in complete resolution of his symptoms despite slight but persistent perigraft false lumen perfusion. Although surgical repair remains the gold standard, endografting has promise and may have a positive impact on the current treatment algorithm for TAAD. Advances must occur in graft manufacturing, and further data will be required before wider application is appropriate.
Bibliography:ObjectType-Case Study-2
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2013.09.047