A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair

Maksim V Gusev; Beatriz V Leong; Sheela T Patel

doi:10.1016/j.jvscit.2022.10.015

A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair

J Vasc Surg Cases Innov Tech. 2022 Oct 31;8(4):781-786. doi: 10.1016/j.jvscit.2022.10.015. eCollection 2022 Dec.

Authors

Maksim V Gusev¹, Beatriz V Leong¹, Sheela T Patel¹

Affiliation

¹ Division of Vascular Surgery, Loma Linda University Health, Loma Linda, CA.

Abstract

Thoracic endovascular stent grafting has been increasingly used in patients with type B aortic dissection (TBAD). We describe a patient with worsening abdominal pain and a rapidly enlarging common iliac artery aneurysm associated with TBAD. The patient underwent open aortoiliac replacement followed by thoracic stent grafting of the TBAD. Computed tomography imaging indicated positive remodeling of the aortic dissection at 3 years. Open abdominal aortic replacement before thoracic endovascular aortic repair may be a useful strategy in patients with TBAD with negative predictors of aneurysmal degeneration.

Keywords: Aortic dissection; Endovascular; Thoracic.

Publication types

Case Reports