Work

Distal true lumen compression after thoracic endovascular aortic repair for aortic dissection treated with endovascular fenestration

Year: 2025

Type: article

Abstract: A 40-year-old man with a type B aortic dissection from the distal left subclavian to right common iliac artery, involving the renal arteries, underwent an endovascular repair complicated with distal malperfusion owing to true lumen compression. A cheese-wire fenestration was done distal to the stent graft down to the aortic bifurcation with bilateral femoral thrombectomy. At postoperative 57 month, he developed a dissection flap in the distal ascending aorta that was repaired with a 28-mm Terumo Gelweave graft. True lumen compression from a reentry tear distal to a stent graft can be managed acutely with a cheese-wire endovascular fenestration with minimal specialized instruments.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.102055

Authors: Harsimran Panesar, Ruchi Raval, Gregory Simonian, David O'Connor

Institutions: Morristown Medical Center, Hackensack Meridian School of Medicine, Hackensack University Medical Center

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250