Distal Stentgraft-induced New Entry Developed after Surgery for Aortic Dissection

We experienced 2 cases with distal stentgraft-induced new entry (distal SINE) after thoracic endovascular aortic repair( TEVAR) for type B aortic dissection and 1 case after total arch replacement and frozen elephant trunk method for type A dissection. We successfully performed additional TEVAR in a...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 72; no. 3; p. 173
Main Authors Otani, Takashi, Miyoshi, Maiko, Hirata, Masataka, Izawa, Naoto, Motoki, Tatsuo, Kurushima, Atsushi, Fukumura, Yoshiaki
Format Journal Article
LanguageJapanese
Published Japan 01.03.2019
Subjects
Aneurysm, Dissecting - surgery
Aorta, Thoracic
Aortic Aneurysm - surgery
Blood Vessel Prosthesis
Endovascular Procedures
Humans
Postoperative Complications - etiology
Risk Factors
Stents - adverse effects
Time Factors
Treatment Outcome
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Summary:We experienced 2 cases with distal stentgraft-induced new entry (distal SINE) after thoracic endovascular aortic repair( TEVAR) for type B aortic dissection and 1 case after total arch replacement and frozen elephant trunk method for type A dissection. We successfully performed additional TEVAR in all cases. If the stent graft is bent at deployment, distal SINE may occur on the great curvature side of the aorta by the spring back force. Therefore, we must pay attention to appropriate device selection, and even when remodeling of the aorta is good, meticulous follow-up is necessary.
ISSN:0021-5252