Abstract
Case report: Computer tomography revealed type B acute aortic dissection with a distal aortic arch aneurysm 64 mm in a diameter in a 66-year-old man. He was treated conservatively according to the guidelines of the AHA, and later we performed total arch replacement using the elephant trunk method. One year later, dilation of the false lumen in the proximal descending aorta increased. For entry closure, thoracic endovascular aortic repair (TEVAR) was performed. Matsui-Kitamura (MK) stent-graft was used for protection of distal tunica intima. We used a Gore TAG covered elephant trunk and MK stent-graft. Postoperative computer tomography showed the false lumen was closed in the descending aorta and no endoleaks. Hybrid treatment of complicated multiple aortic lesions by combined open surgery and TEVAR can be effective.
