Use of a stent-graft and vascular occlude to treat primary and re-entry tears in a patient with a Stanford type B aortic dissection

Abstract

Thoracic endovascular aortic repair for aortic dissections is recognized as an effective treatment. We herein report the case of a 72-year-old male with a Stanford type B aortic dissection. A stent-graft and double-disk vascular occluder was used to repair the primary and re-entry tears, respectively. At 3 month postoperatively, computed tomographic angiography revealed no endoleaks, the stent-graft and vascular occluder to be in optimal positions, the false lumen was almost completely thrombosed, and the visceral arteries were patent. This case illustrates that it is feasible to treat re-entry tears with a vascular occluder after primary proximal stent-graft repairs.

Endovascular exclusion of a false lumen associated with residual dissection after proximal aortic repair using a custom-made false lumen occluder

“…There have been several few reports of the effective treatment of reentry tears for type B aortic dissection with a vascular occluder made for peripheral arteries. [3][4][5] In this case, enlargement of the thoracic false lumen was prevented by using the endovascular occlusion technique without organ ischemia. The thoracic false lumen was isolated from the abdominal false lumen using a false lumen occluder.…”