Key result
Combined open and endovascular repair (frozen elephant trunk) resulted in complete shrinkage of the obliterated false lumen at 2-year follow-up in a patient with chronic aortic dissection.
Why the study?
Does combined open and endovascular repair (frozen elephant trunk) lead to false lumen shrinkage in a patient with chronic aortic dissection Stanford Type A?
Case Report (n=1)
No
Does combined open and endovascular repair (frozen elephant trunk) lead to false lumen shrinkage in a patient with chronic aortic dissection Stanford Type A?
Hybrid open and endovascular repair (frozen elephant trunk) can lead to complete shrinkage of the obliterated false lumen in chronic Stanford Type A aortic dissection.
May support hybrid repair exploration in chronic Type A dissection; leaves open generalizability and outcome impact in larger cohorts.
A 48-year-old man was admitted to our hospital with chronic aortic dissection Stanford Type A. His diagnosis was confirmed by chest multi-detector computed tomography (CT). The patient underwent combined (i.e., hybrid) open and endovascular repair (frozen elephant trunk) in a one-stage operation with moderate hypothermic circulatory arrest and antegrade cerebral perfusion. His postoperative course was uneventful, and he was discharged home on postoperative day 9. At 2-year follow-up, chest CT angiography revealed complete shrinkage of the obliterated false lumen in the distal aortic arch and descending thoracic aorta.
No takes yet. Share an insight, caveat, or question.
Samanidis et al. (2017) conducted a case report in chronic aortic dissection Stanford Type A (n=1). combined (hybrid) open and endovascular repair (frozen elephant trunk) was evaluated on shrinkage of the obliterated false lumen. Combined open and endovascular repair (frozen elephant trunk) resulted in complete shrinkage of the obliterated false lumen at 2-year follow-up in a patient with chronic aortic dissection.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: