ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Surgeon-modified fenestrated stent graft deployment in type B aortic dissection
Hakkı Zafer İşcan1, Ertekin Utku Ünal1
1Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2021.20641
The treatment of aortic dissections and aneurysms may be challenging for vascular surgeons. Currently, thoracic endovascular aortic repair is usually the first treatment option for descending aortic pathologies. Left subclavian artery coverage during this procedure is often required to achieve a sufficient proximal landing zone. Most surgeons agree that the left subclavian artery can be selectively covered, but revascularization is preferred to reduce the risk of neurological or ischemic complications. The chimney method, hybrid operations with extra-anatomic bypass, back table or in situ fenestrations are assistive techniques in this procedure. Herein, we present a surgeon-modified fenestrated stent graft for a type B aortic dissection patient.
Keywords : Aortic dissection, endovascular technique, fenestrated, subclavian artery, thoracic endovascular aortic repair
Viewed : 2606
Downloaded : 902