AI Article Synopsis
- A patent false lumen after endovascular repair of type B aortic dissection poses risks like aortic dilation and rupture.
- A 64-year-old man had ongoing issues after his initial repair, leading to symptoms from an aneurysm due to the persistent flow in the false lumen.
- Successful treatment involved coil embolization to stop blood flow to the aneurysm, resulting in size reduction and positive outcomes, along with a discussion of management strategies and literature review.
Article Abstract
A patent false lumen with persistent flow after endovascular repair of type B aortic dissection (TBAD) is associated with an ongoing risk of aortic dilation and rupture. We describe the case of a 64-year-old man who initially underwent thoracic endovascular aortic repair for acute complicated TBAD, but continued to have symptomatic retrograde aneurysm filling and dilatation because of a patent false lumen. Coil embolization of the patent false lumen successfully excluded the aneurysmal thoracic aorta from further perfusion, and led to a decease in aneurysm size on follow-up. Our case report is followed by a discussion on this management strategy and a review of literature.
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| http://dx.doi.org/10.1016/j.avsg.2014.07.041 | DOI Listing |
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