Two Staged Stent Graft Repair for Chronic Type B Dissecting Aneurysm Using Embolization Device

Abstract

After treatment of stent graft for chronic type B dissection, there are no remodeling cases because for persistent flow in the false lumen. We underwent two staged stent graft therapy and embolization of the false lumen. A 67-year-old man,thoracic and abdominal aorta were enlarged because of remained entry and re-entry flow. The entry tear was closed by TEVAR and the thoracic false lumen was thrombosed. Abdominal false lumen was not thrombosed because the flow from the re-entry. We added the embolization of the false lumen and EVAR. A stent graft therapy with false lumen embolization for chronic type B dissection is useful, but we need more careful observation.