Endovascular fenestration of aortic dissection membrane after failed frozen elephant trunk procedure

Eur J Cardiothorac Surg. 2020 Mar 1;57(3):598-600. doi: 10.1093/ejcts/ezz251.

Abstract

We report a case of a 51-year-old male with complicated acute type A aortic dissection who initially underwent a supracoronary and aortic arch replacement using frozen elephant trunk technique. False-lumen perfusion was revealed later which resulted in the collapse of the true lumen. Endovascular fenestration of the dissection flap was performed. True-lumen reperfusion with false-lumen regression was achieved. Endovascular fenestration using a re-entry catheter represents an efficient and safe treatment approach for this rare but serious complication.

Keywords: Ascending aorta dissection; Endovascular fenestration; Frozen elephant trunk.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aorta, Thoracic / surgery
  • Aortic Aneurysm, Thoracic* / diagnostic imaging
  • Aortic Aneurysm, Thoracic* / surgery
  • Aortic Dissection* / diagnostic imaging
  • Aortic Dissection* / surgery
  • Blood Vessel Prosthesis Implantation*
  • Endovascular Procedures*
  • Humans
  • Male
  • Middle Aged
  • Stents
  • Treatment Outcome