2018 Volume 27 Issue 5 Pages 359-362
A 51-year-old man had undergone graft replacement of the descending thoracic aorta for a DeBakey IIIb chronic dissecting aneurysm. In that operation, double-barrel distal anastomosis was performed between the vascular prosthesis and the thoracic aorta. Six years later, the residual false lumen of the thoracic aorta was not thrombosed and its maximal diameter had enlarged to 66×80 mm. Therefore, we performed endovascular aortic repair with the candy plug technique. During the operation, the stent graft was placed in the true lumen for coverage of the proximal intimal fenestration and the candy plug was inserted into the false lumen to prevent reentry of blood flow. The patient’s postoperative course was uneventful, and he was discharged on the 9th postoperative day. At 4 months after the operation, contrast computed tomography revealed the absorption of the false lumen and the enlargement of the true lumen, and that the diameter of the descending aorta decreased to 49×69 mm. The candy plug technique is a useful treatment for a residual thoracic dissecting aneurysm after graft replacement of the descending thoracic aorta.
