Repair of Acute Type B Aortic Dissection Complicated by Aortic Rupture with Debranching Thoracic Endovascular Aortic Repair and Left Subclavian Artery Occlusion Using Amplatzer Vascular Plug II

Yasunori Iida; Tsutomu Ito; Sachiko Hayashi; Tatsuo Takahashi; Takahiko Misumi; Takashi Hachiya; Hideyuki Shimizu

doi:10.3400/avd.cr.15-00040

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Repair of Acute Type B Aortic Dissection Complicated by Aortic Rupture with Debranching Thoracic Endovascular Aortic Repair and Left Subclavian Artery Occlusion Using Amplatzer Vascular Plug II

Yasunori Iida, Tsutomu Ito, Sachiko Hayashi, Tatsuo Takahashi, Takahiko Misumi, Takashi Hachiya, Hideyuki Shimizu

著者情報

キーワード: aortic dissection, endovascular procedures

ジャーナルフリー早期公開

論文ID: cr.15-00040

DOI https://doi.org/10.3400/avd.cr.15-00040

この記事には本公開記事があります。

The final version of this article is now available: Vol. 8 (2015), No. 3 pp. 252-254

詳細

抄録

An 88-year-old man with severe chest pain and syncope was admitted to our hospital. Contrast-enhanced computed tomography (CT) revealed acute type B aortic dissection with rupture. Considering age and operative risk, we performed emergency thoracic aortic endovascular repair with two-debranching of the left common carotid and left subclavian arteries. To prevent type II endoleak, we used Amplatzer Vascular Plug (AVP) II for left subclavian artery embolization. Postoperative contrast-enhanced CT showed no type II endoleak and rupture site exclusion. As postoperative persistent blood flow to the primary entry or rupture site causes re-rupture, AVP II was crucial in preventing type II endoleak.

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