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CC BY 4.0 · Aorta (Stamford) 2016; 04(01): 11-15
DOI: 10.12945/j.aorta.2015.15.017
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Type B Aortic Dissection Repair Using a Thoraflex Hybrid Prosthesis in a Complex Aortic Arch Anatomy

Moussa Abi Ghanem
1   Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Rangueil, Toulouse, France
,
Mario Gomez-Sanchez
1   Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Rangueil, Toulouse, France
,
Xavier Chaufour
2   Department of Vascular Surgery, Centre Hospitalier Universitaire Rangueil, Toulouse, France
,
Bertrand Marcheix
1   Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Rangueil, Toulouse, France
› Author Affiliations
Further Information

Publication History

04 May 2015

19 October 2015

Publication Date:
24 September 2018 (online)

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Abstract

Thoracic endovascular aortic repair (TEVAR) is recognized as an attractive option to treat complicated Type B aortic dissection. Nevertheless, TEVAR is not always technically possible. We report the case of a 53-year-old male with complicated Type B aortic dissection, in the setting of a complex anomalous aortic arch anatomy with an aneurysmal aberrant right subclavian artery. He was successfully treated by the frozen elephant trunk technique using the Thoraflex hybrid graft.

Key Words

Bovine arch - Dissection - Aorta
 

  • References

  • 1 Kato M, Ohnishi K, Kaneko M, Ueda T, Kishi D, Mizushima T, Matsuda H. New graft-implanting method for thoracic aortic aneurysm or dissection with a stented graft. Circulation 1996; 94: II188-193 . PMID: 8901744
    PubMedGoogle Scholar
  • 2 Shrestha M, Pichlmaier M, Martens A, Hagl C, Khaladj N, Haverich A. Total aortic arch replacement with a novel four-branched frozen elephant trunk graft: First-in-man results. Eur J Cardiothorac Surg 2013; 43: 406-410 . DOI: 10.1093/ejcts/ezs296
    CrossrefPubMedGoogle Scholar
  • 3 Myers PO, Fasel JH, Kalangos A, Gailloud P. Arteria lusoria: Developmental anatomy, clinical, radiological and surgical aspects. Ann Cardiol Angeiol 2010; 59: 147-154 . DOI: 10.1016/j.ancard.2009.07.008
    CrossrefPubMedGoogle Scholar
  • 4 Ozates M, Nazaroglu H, Uyar A. MR angiography in diagnosis of aberrant right subclavian artery associated with common carotid trunk. Eur Radiol 2000; 10: 1503 . DOI: 10.1007/s003300000335
    CrossrefPubMedGoogle Scholar
  • 5 Fattori R, Tsai T, Myrmel T, Evangelista A, Cooper J, Trimarchi S. , et al. Complicated acute type B dissection: Is surgery still the best option?. JACC: Cardiovasc Interv 2008; 395-402 . DOI: 10.1016/j.jcin.2008.04.009
    PubMedGoogle Scholar
  • 6 Weiss G, Wolner I, Folkmann S, Sodeck G, Schmidli J, Grabenwoger M. , et al. The location of the primary entry tear in acute type B aortic dissection affects early outcome. Eur J Cardiothorac Surg 2012; 42: 571576 . 10.1093/ejcts/ezs056
    PubMedGoogle Scholar
  • 7 Borst HG, Walterbusch G, Schaps D. Extensive aortic replacement using “elephant trunk” prosthesis. Thorac Cardiovasc Surg 1983; 31: 37-40 . DOI: 10.1055/s-2007-1020290
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Pichlmaier MA, Teebken OE, Baraki H, Haverich A. The frozen elephant trunk technique. Multimed Man Cardiothorac Surg 2007; 2007:mmcts.2006.001990 . DOI: 10.1510/mmcts.2006.001990
    PubMedGoogle Scholar
  • 9 Weiss G, Tsagakisb K, Jakobb H, Di Bartolomeoc R, Pacinic D, Barberioc G. , et al. The frozen elephant trunk technique for the treatment of complicated type B aortic dissection with involvement of the aortic arch: multicentre early experience. Eur J Cardiothorac Surg 2015; 47: 106-114 . DOI: 10.1093/ejcts/ezu067
    CrossrefPubMedGoogle Scholar
  • 10 Leone A, Pantaleo A, Pacini D, Di Marco L, Di Bartolomeo R. Single-stage frozen elephant trunk reconstruction in complex disease of the aortic arch with aberrant right subclavian artery. J Card Surg 2014; 29: 234-237 . DOI: 10.1111/jocs.12257
    CrossrefPubMedGoogle Scholar