Key result
Gore TAG thoracic branch endograft shows feasibility in ruptured subacute type B aortic dissection.
Why the study?
Type B aortic dissections can be anatomically complex, with rupture representing a rare complication in the subacute phase.
Is the Gore TAG thoracic branch endograft feasible for the management of subacute type B aortic dissection complicated by rupture?
Case Report (n=1)
No
Is the Gore TAG thoracic branch endograft feasible for the management of subacute type B aortic dissection complicated by rupture?
The Gore TAG thoracic branch endograft may be a feasible option for emergent repair of subacute type B aortic dissection complicated by rupture.
May support feasibility in one ruptured subacute type B dissection case; leaves open need for prospective studies before wider use.
An 80-year-old man presented with a subacute zone 3-5 type B aortic dissection complicated by rupture and visceral and lower extremity malperfusion. He underwent emergent zone 2 repair with a Gore TAG thoracic branch endograft with inclusion of the left subclavian artery for a dominant left vertebral artery. The patient's postoperative course was uncomplicated. Type B aortic dissections can be anatomically complex, and rupture is a rare complication in the subacute phase. We report the novel use of a Gore TAG thoracic branch endograft for the management of type B aortic dissection complicated by rupture and demonstrate its feasibility for patients with type B aortic dissection complicated by rupture.
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Pitcher et al. (2023) conducted a case report in Subacute type B aortic dissection complicated by rupture (n=1). Gore TAG thoracic branch endograft was evaluated on Postoperative course. Use of a Gore TAG thoracic branch endograft was feasible and resulted in an uncomplicated postoperative course in an 80-year-old man with a ruptured subacute type B aortic dissection.
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