Closure of Ascending Aortic Entry by Debranching Endovascular Management in an Elderly Patient with Acute Stanford Type A Dissection

Munehiro Saiki, Keiji Yunoki, Naoya Sakoda, Shigeru Hattori, Gaku Uchino, Takuya Kawabata, Yasufumi Fujita, Kunikazu Hisamochi, Hideo Yoshida

Research output: Contribution to journalArticle

Abstract

An 85-year-old woman was hospitalized by emergency for an acute Stanford type A aortic dissection. Computed tomography showed a primary entry on the ascending aorta and pericardial effusion. Although her hemodynamics was unstable due to cardiac shock, her family wished no open surgery considering her age and frailty. A couple of days later, her condition became stabilized with antihypertensive therapy. Since the dissection was limited within the ascending aorta, closure of the entry with the stentgraft was considered appropriate and much less invasive as compared with an open surgery. After obtaining informed consent with her family, thoracic endovascular aortic repair was performed with Gore C-TAG with 2-debranch. The procedure was completed without complications and the entry closure was confirmed by aortography. Her postoperative course was uneventful. Her physical activity restored to the preoperative level and she was discharged.

Original languageEnglish
Pages (from-to)1077-1080
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume69
Issue number13
Publication statusPublished - Dec 1 2016
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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    Saiki, M., Yunoki, K., Sakoda, N., Hattori, S., Uchino, G., Kawabata, T., Fujita, Y., Hisamochi, K., & Yoshida, H. (2016). Closure of Ascending Aortic Entry by Debranching Endovascular Management in an Elderly Patient with Acute Stanford Type A Dissection. Kyobu geka. The Japanese journal of thoracic surgery, 69(13), 1077-1080.