Korean J Thorac Cardiovasc Surg.  2010 Aug;43(4):428-432.

Hybrid Endovascular Repair for Type I Endoleak after Stent Grafting of Chronic Stanford Type B Aortic Dissection: A case report

• Kim KW
• Cho SH
• Shim WH
• Youn YN

Abstract

A 67 years old male patient was admitted with back pain that had recurred from 6 months previously. Eleven years previously, he underwent stent grafting at the descending thoracic aorta for a chronic Stanford type B aortic dissection. The preoperative computed tomography showed aortic dissection from the origin of the left subclavian artery to the bifurcation of the abdominal aorta, and there was a type I endoleak at the proximal portion of the stent graft and aneurysmal dilatation of the descending aorta. A hybrid endovascular repair was successfully performed, and this involved debranching and rerouting the aortic arch vessels under extracorporeal cardiopulmonary bypass and then this was followed 13 days later by stenting in the ascending aorta, the aortic arch and the descending aorta. The postoperative computed tomography showed complete exclusion of the type I endoleak. After discharge, he has been followed up for 8 months without any problems.

Keyword

Endovascular stent; Aortic dissection; Aorta, arch; Hybrid procedure

MeSH Terms

Aneurysm
Aorta
Aorta, Abdominal
Aorta, Thoracic
Back Pain
Cardiopulmonary Bypass
Chimera
Dilatation
Endoleak
Humans
Male
Stents
Subclavian Artery
Transplants