CC BY 4.0 · Aorta (Stamford) 2016; 04(05): 167-171
DOI: 10.12945/j.aorta.2016.15.040
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Frozen Elephant Trunk and Antegrade Visceral Debranching in the Surgical Treatment of Type B Aortic Dissection: An Alternative Method

Altug Tuncer
1   Kartal Kosuyolu Heart and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
,
Mustafa Akbulut
1   Kartal Kosuyolu Heart and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
,
Taylan Adademir
1   Kartal Kosuyolu Heart and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
,
Serpil Tas
1   Kartal Kosuyolu Heart and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
,
Adnan Ak
1   Kartal Kosuyolu Heart and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
,
Özgür Arslan
1   Kartal Kosuyolu Heart and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
,
Benay Erden
1   Kartal Kosuyolu Heart and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
,
Mesut Şişmanoğlu
2   University of Duzce, Faculty of Medicine, Department of Cardiovascular Surgery, Duzce, Turkey
› Author Affiliations
Further Information

Publication History

12 July 2015

15 July 2016

Publication Date:
24 September 2018 (online)

Abstract

Intervention is inevitable in complicated Type B aortic dissections. Classical surgical procedures and endovascular interventions are far from ideal treatments due to their high risk of periprocedural complications and mortality. There is often a need for alternative method in cases of difficult anatomy. We present the combined use of frozen elephant trunk and antegrade visceral debranching methods in the treatment of a 54-year-old male patient with complicated Type B aortic dissection.

 
  • References

  • 1 Bozinovski J, Coselli JS. Outcomes and survival in surgical treatment of descending thoracic aorta with acute dissection. Ann Thorac Surg 2008; 85: 965-970 . DOI: 10.1016/j.athoracsur.2007.11.013
  • 2 Kitagawa A, Greenberg RK, Eagleton MJ, Mastracci TM, Roselli EE. Fenestrated and branched endovascular aortic repair for chronic type B aortic dissection with thoracoabdominal aneurysms. J Vasc Surg 2013; 58: 625-634 . DOI: 10.1016/j.jvs.2013.01.049
  • 3 Akin I, Kische S, Ince H, Nienaber CA. Indication, timing and results of endovascular treatment of type B dissection. Eur J Vasc Endovasc Surg 2009; 37: 289-296 . DOI: 10.1016/j.ejvs.2008.12.004
  • 4 Atkins MD, Black JH, Cambria RP. Aortic dissection: perspectives in the era of stent-graft repair. J Vasc Surg 2006; 43 Suppl A 30A-43A . DOI: 10.1016/j.jvs.2005.10.052
  • 5 Kitagawa A, Greenberg RK, Eagleton MJ, Mastracci TM, Roselli EE. Acute complicated and uncomplicated type III aortic dissection: an endovascular perspective. Semin Thorac Cardiovasc Surg 2009; 21: 373-386 . DOI: 10.1053/j.semtcvs.2009.11.008
  • 6 Chen SL, Zhu JC, Li XB, Ye F, Zhang JJ, Liu ZZ. , et al. Comparison of long-term clinical outcome between patients with chronic versus acute type B aortic dissection treated by implantation of a stent graft: a single-center report. Patient Prefer Adherence 2013; 7: 319-327 . DOI: 10.2147/PPA.S39012
  • 7 Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL. , et al. The International Registry of Acute Aortic Dissection (IRAD): New insights into an old disease. JAMA 2000; 283: 897-903 . DOI: 10.1001/jama.283.7.897
  • 8 Vedantham S, Picus D, Sanchez AL, Braverman A, Moon MR, Sundt T. , et al. Percutaneous management of ischemic complications in patients with type-B aortic dissection. J Vasc Interv Radiol 2003; 14: 181-193 . PMID: 12582186
  • 9 Uchida N, Shibamura H, Katayama A, Aishin K, Sutoh M, Kuraoka M. Surgical strategies for organ malperfusions in acute type B aortic dissection. Interact Cardiovasc Thorac Surg 2009; 8: 75-78 . DOI: 10.1510/icvts.2008.186247
  • 10 Chiesa R, Tshomba Y, Melissano G, Logaldo D. Is hybrid procedure the best treatment option for thoraco-abdominal aortic aneurysm?. Eur J Vasc Endovasc Surg 2009; 38: 26-34 . DOI: 10.1016/j.ejvs.2009.03.018