Expanding false lumen in the abdominal aorta 5 years after endovascular repair of a type B aortic dissection: Successful exclusion of 3 distal re-entry sites

Boyoung Joung, Young Guk Ko, Sung Ha Park, Do Yun Lee, Yangsoo Jang, Sang Hyun Lim, Won Heum Shim

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Purpose: To report endovascular treatment of an expanding aneurysmal false lumen several years after successful stent-graft deployment in the descending thoracic aorta for type B aortic dissection. Case Report: A 54-year-old woman who had a stent-graft placed at the entry site of a type B aortic dissection 5 years prior presented with abdominal discomfort and palpable abdominal mass. Successful remodeling of the thoracic aorta was demonstrated by computed tomography; however, a false lumen aneurysm in the abdominal aorta had expanded from 4.8 to 6.5 cm and caused symptoms. She was successfully treated with 3 additional stent-grafts at 3 re-entry sites. Six months after the procedure, the false lumen aneurysm was completely excluded. Conclusions: Endovascular repair of the re-entry sites can prevent further expansion of false lumen aneurysm, which occurs in some patients with type B dissection treated with stent-grafts.

Original languageEnglish
Pages (from-to)577-581
Number of pages5
JournalJournal of Endovascular Therapy
Volume11
Issue number5
DOIs
Publication statusPublished - 2004 Oct

All Science Journal Classification (ASJC) codes

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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