Key result
Graft-to-graft bridging enables successful TEVAR without endoleak for descending aortic dissection in Marfan syndrome.
Case Report (n=1)
No
Graft-to-graft bridging via thoracic endovascular repair can be an effective finishing procedure for chronic aortic dissection in Marfan syndrome patients with prior extensive aortic surgeries.
May support graft-to-graft TEVAR as finishing procedure in select Marfan cases; leaves open durability and generalizability pending larger studies.
We report a case of chronic aortic dissection in a patient with Marfan syndrome in which we performed thoracic endovascular repair after aortic root replacement, total arch replacement with open stent grafting and thoracoabdominal aortic repair. We consider that endovascular repair of the dissected descending aorta in a patient with Marfan syndrome can be effective when graft-to-graft bridging is performed as the "finishing procedure".
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Yamane et al. (2016) conducted a case report in Chronic aortic dissection in Marfan syndrome (n=1). Endovascular repair by graft-to-graft bridging was evaluated on Procedural success and absence of endoleak. Endovascular repair of a dissected descending aorta in a patient with Marfan syndrome was successfully performed without endoleak by using graft-to-graft bridging.
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