A Case of Endovascular Repair of Primary Entry Closure of Chronic type B Dissection with Aortoiliac Occlusive Disease

Abstract

We encountered an endovascular repair of primary entry closure of chronic type B dissection with aortoiliac occlusive disease. The patient was 67-year-old man who had undergone right axillo-bifemoral bypass 17 years previously. Enhanced computed tomography revealed that the false lumen of distal aortic arch enlarged and a saccular aneurysm developed at the false lumen of mid-descending aorta. We performed primary entry closure with stent graft via left axillary artery. This procedure may be valuable treatment for primary entry closure of chronic type B dissection with aortoiliac occlusive disease.