A Case of Chronic Stanford Type B Aortic Dissection Treated with Physician-Modified Thoracic Endovascular Aortic Repair and the Candy Plug Technique

Abstract

An 85-year-old man with chronic Stanford type B aortic dissection showed progressive aneurysmal enlargement of the descending thoracic aorta. Because open surgical repair was considered high risk, an endovascular approach was selected. Physician-modified thoracic endovascular aortic repair (PM-TEVAR) was performed to close the proximal entry tear, and the distal false lumen was treated using the Candy Plug technique. Postoperative contrast-enhanced computed tomography demonstrated complete false lumen thrombosis with disappearance of false lumen flow. This combined strategy may be a useful option for anatomically challenging chronic TBAD cases.