Published in:
Open Access
01-12-2017 | Case report
Modified ‘candy-plug’ technique for chronic type B aortic dissection with aneurysmal dilatation: a case report
Authors:
Sohsyu Kotani, Yoshito Inoue, Mio Kasai, Satoru Suzuki, Takashi Hachiya
Published in:
Journal of Cardiothoracic Surgery
|
Issue 1/2017
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Abstract
Background
The original ‘candy-plug’ technique has been reported to be beneficial for the treatment of residual perfused false lumen in patients with aortic dissection. However, this technique is also associated with several problems, such as narrowing of the true lumen and damage to the flap or vessel wall. Therefore, we modified the procedure to overcome these problems. Here we report a case in which the patient was successfully treated using the modified procedure.
Case presentation
A 59-year-old man presented with chronic type B aortic dissection with aneurysmal dilatation. The patient had undergone prosthetic graft replacement of the ascending aorta for acute type A aortic dissection 3 years previously and replacement of the descending aorta for residual type B aortic dissection with aneurysmal dilatation 1 year previously. After these procedures, the residual false lumen aneurysm of the distal descending aorta expanded to 57-mm in diameter. Endovascular stent grafting was successfully performed using the modified ‘candy-plug’ technique with relining of the true lumen and occlusion of the false lumen. The patient was discharged 10 days after the procedure. Follow-up imaging at 1 year showed a completely thrombosed false lumen aneurysm.
Conclusion
The modified ‘candy-plug’ technique is useful for treatment of residual type B aortic dissection with aneurysmal dilatation.