A Case of Stent Graft Repair for Chronic Type B Dissecting Aneurysm with Three-channeled Aortic Dissection Using the Candy Plug Technique

Abstract

A 58-year-old man presented with chronic type B aortic aneurysm with three-channeled dissection on CT scan. He previously underwent thoracic endovascular aortic repair for complicated acute type B aortic dissection. As the aneurysm was dilated without false lumen thrombosis and his symptoms indicated impending rupture, we performed false lumen embolization using the Candy plug technique. Postoperative and follow-up imaging revealed a completely thrombosed false lumen with a reduced diameter. The Candy plug technique proved useful for the treatment of chronic aortic dissection.