Key result
Endovascular therapy successfully resolved an endoleak in a 54-year-old man following total arch replacement using the fenestrated frozen elephant trunk technique, leaving him asymptomatic.
Why the study?
Long-term results and the need for additional treatment following total arch replacement using the fenestrated frozen elephant trunk technique for acute Stanford type-A aortic dissection remain unclear.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Endovascular therapy may be an effective strategy for treating endoleaks after total arch replacement using the fenestrated frozen elephant trunk technique.
Recently, several centers have performed total arch replacement using the fenestrated frozen elephant trunk technique for acute Stanford type-A aortic dissection. However, the long-term results and need for additional treatment following this procedure are unclear. We report a case of a 54-year-old man who underwent endovascular therapy for endoleaks after total arch replacement using the fenestrated frozen elephant trunk technique for acute type-A aortic dissection with an isolated left vertebral artery. After the surgery, the endoleak was resolved, and the patient was asymptomatic with no neurological deficits. This strategy might be effective in similar cases.
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Okugi et al. (2022) conducted a case report in Endoleaks after total arch replacement using the fenestrated frozen elephant trunk technique for acute type-A aortic dissection (n=1). Endovascular therapy was evaluated on Resolution of endoleak and neurological deficits. Endovascular therapy successfully resolved an endoleak in a 54-year-old man following total arch replacement using the fenestrated frozen elephant trunk technique, leaving him asymptomatic.
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