Type Ib endoleak repaired with a thoracic endovascular graft inside previous visceral debranching bypass in a patient with chronic type B aortic dissection

Cristina Tello-Díaz, MD; Jose Maria Romero Carro, MD, PhD; Begoña Soto Carricas, MD, PhD; Jorge Moreno, MD; Carmen Aloy Ortiz, MD; Jaume F. Dilmé, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2023)

Type Ib endoleak repaired with a thoracic endovascular graft inside previous visceral debranching bypass in a patient with chronic type B aortic dissection

Cristina Tello-Díaz, MD,
Jose Maria Romero Carro, MD, PhD,
Begoña Soto Carricas, MD, PhD,
Jorge Moreno, MD,
Carmen Aloy Ortiz, MD,
Jaume F. Dilmé, MD, PhD

Affiliations

Cristina Tello-Díaz, MD: Correspondence: Cristina Tello-Díaz, MD, Department of Vascular Surgery, Hospital of the Holy Cross and Saint Paul, Passeig Vall d’Hebron 119-129, Barcelona 08035, Spain; Angiology, Vascular Biology and Inflammation Laboratory, and Department of Vascular and Endovascular Surgery, Sant Pau Institute of Biomedical Research, Universitat Autónoma de Barcelona, Barcelona; and the CIBER de Enfermedades Cardiovasculares, Instituto de Salud Carlos III, Madrid, Spain
Jose Maria Romero Carro, MD, PhD: Angiology, Vascular Biology and Inflammation Laboratory, and Department of Vascular and Endovascular Surgery, Sant Pau Institute of Biomedical Research, Universitat Autónoma de Barcelona, Barcelona; and the CIBER de Enfermedades Cardiovasculares, Instituto de Salud Carlos III, Madrid, Spain
Begoña Soto Carricas, MD, PhD: Angiology, Vascular Biology and Inflammation Laboratory, and Department of Vascular and Endovascular Surgery, Sant Pau Institute of Biomedical Research, Universitat Autónoma de Barcelona, Barcelona; and the CIBER de Enfermedades Cardiovasculares, Instituto de Salud Carlos III, Madrid, Spain
Jorge Moreno, MD: Angiology, Vascular Biology and Inflammation Laboratory, and Department of Vascular and Endovascular Surgery, Sant Pau Institute of Biomedical Research, Universitat Autónoma de Barcelona, Barcelona; and the CIBER de Enfermedades Cardiovasculares, Instituto de Salud Carlos III, Madrid, Spain
Carmen Aloy Ortiz, MD: Angiology, Vascular Biology and Inflammation Laboratory, and Department of Vascular and Endovascular Surgery, Sant Pau Institute of Biomedical Research, Universitat Autónoma de Barcelona, Barcelona; and the CIBER de Enfermedades Cardiovasculares, Instituto de Salud Carlos III, Madrid, Spain
Jaume F. Dilmé, MD, PhD: Angiology, Vascular Biology and Inflammation Laboratory, and Department of Vascular and Endovascular Surgery, Sant Pau Institute of Biomedical Research, Universitat Autónoma de Barcelona, Barcelona; and the CIBER de Enfermedades Cardiovasculares, Instituto de Salud Carlos III, Madrid, Spain

Journal volume & issue: Vol. 9, no. 2
p. 101186

Abstract

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We present the case of a patient with chronic type B aortic dissection with a previous iliac to visceral debranching graft and thoracoabdominal endograft who, because of a type Ib endoleak and aortic diameter enlargement, required a complex solution involving placement of a thoracic endovascular graft inside a Dacron graft with a 180° curved shape in three-stage surgery. At 9 months of follow-up, he had no evidence of type I endoleaks, and the aortic diameter had decreased.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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