Double-Barrel Sandwich Technique for Abdominal Aortic Aneurysm with the Focal Neck Dissection

An 81 years old male was undergone endovascular aneurysm repair for abdominal aortic aneurysm, 50 mm in diameter with the chronic focal neck dissection. Because the main body inserted in the false lumen accidentally to be deployed, the contra-lateral leg was entrapped and undeployed by the aortic di...

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Published inThe Journal of Japanese College of Angiology Vol. 58; no. 1; pp. 5 - 8
Main Authors Mitomi, Kisato, Toba, Mayuko, Kuramochi, Masami, Shinonaga, Mayumi, Chiba, Yoshiro, Kuraoka, Setsuo
Format Journal Article
LanguageJapanese
Published Japanese College of Angiology 10.01.2018
Subjects
abdominal aortic aneurysm
aortic dissection
endovascular therapy
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Summary:An 81 years old male was undergone endovascular aneurysm repair for abdominal aortic aneurysm, 50 mm in diameter with the chronic focal neck dissection. Because the main body inserted in the false lumen accidentally to be deployed, the contra-lateral leg was entrapped and undeployed by the aortic dissection flap. The upside down contra-lateral limb was deployed in the true lumen for bailout, Double-Barrel Sandwich technique was performed. Then each of stent grafts was reinforced by bare metal stents to keep each lumen. Although false lumen neck remained stenosed, postoperative course was uneventful. And we should continue careful regular observation.
ISSN:0387-1126
1880-8840
DOI:10.7133/jca.17-00032