Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm due to Triple-Channeled Chronic Aortic Dissection Stanford Type B in an Elderly Patient with Marfan Syndrome

Abstract

An 84-year-old female with Marfan syndrome and a history of multiple aortic surgeries developed a triple-channel type B aortic dissection. A new entry was located at the proximal descending aorta and a false lumen was patent. Because of persistent back pain, her age, and a complicated surgical history, thoracic endovascular aortic repair (TEVAR) was conducted to close the new entry tear. Postoperative enhanced computed tomography revealed a thrombosed false lumen of the proximal descending aorta. There was no enlargement of the descending aorta four years post-surgery. TEVAR is an alternative procedure for treating aortic dissection in elderly patients, even with Marfan syndrome.