Staged endovascular repair of post-dissection thoracoabdominal aortic aneurysm using false lumen stent grafts placement
We report a false lumen stent graft technique to close the intimal tears at the visceral segment for post-dissection thoracoabdominal aneurysm after initial thoracic endovascular aortic repair. Following abdominal endovascular aortic repair, a stent graft was then deployed in the false lumen, and successfully closed the intimal tears at the visceral segment. The residual re-entries at the iliac level were closed 2 years after the prior endovascular aortic repair, once a collateral network for spinal cord perfusion had developed, minimizing the risk of spinal cord ischemia. This endovascular strategy successfully reduced a size of post-dissection thoracoabdominal aneurysm.
Authors
- Hiroki Ikeuchi
- Maiko Nagahama
- Hiroaki Yamamoto (ORCID: https://orcid.org/0000-0003-0997-7419)
- Hironobu Nishiori (ORCID: https://orcid.org/0000-0001-6417-6273)
- Michiko Watanabe (ORCID: https://orcid.org/0000-0002-5376-7526)
- Tomoyoshi Kanda
- Kaoru Matsuura (ORCID: https://orcid.org/0000-0002-7607-4482)
- Goro Matsumiya (ORCID: https://orcid.org/0000-0002-7249-4607)
- Hiroki Kohno (ORCID: https://orcid.org/0000-0002-5779-9920)
- Chihiro Ito (ORCID: https://orcid.org/0000-0001-7510-9885)
- Tomohiko Inui (ORCID: https://orcid.org/0000-0001-6465-4837)
- Hideki Ueda (ORCID: https://orcid.org/0000-0002-8859-8515)
- Takashi Yamamoto
- Yusuke Shibata (ORCID: https://orcid.org/0000-0002-4804-7428)
Institutions
- Chiba University Hospital (JP)
- Senju Pharmaceutical (Japan) (JP)
Publication Details
- Journal
- Journal of Surgical Case Reports
- Published
- 2025-04-29
- DOI
- https://doi.org/10.1093/jscr/rjaf336
- Primary Topic
- Aortic Disease and Treatment Approaches
- Type
- article
- Field-Weighted Citation Impact
- 0.00