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. 2022 Apr 19;32(1):21-25.
doi: 10.1055/s-0042-1742307. eCollection 2023 Mar.

5-Year Follow-Up of Endovascular Management in a Patient with Chronic Concomitant DeBakey Type II and IIIa Aortic Dissection

Taofan Siddiq  1 , Iwan Dakota  1 , Suko Adiarto  1 , Suci Indriani  1 , Sugisman Sugisman  2 , Asmoko Resta Permana  3 , Chang Shu  4
Affiliations

5-Year Follow-Up of Endovascular Management in a Patient with Chronic Concomitant DeBakey Type II and IIIa Aortic Dissection

Taofan Siddiq et al. Int J Angiol. .

Abstract

The incidence of chronic concomitant DeBakey Type II and IIIa aortic dissection is uncommon and complex. Since the mortality rate is very high, it requires a precise and holistic treatment plan. In some cases, when the patients refuse to undergo open surgery or the patients' condition is not suitable for open surgery, thoracic endovascular aortic repair (TEVAR) is the recommended therapeutic approach. In this case, a patient refused to undergo open surgery and chose TEVAR instead. The patient survived the procedure and lived for years. We present the case of a successful TEVAR procedure in a patient with chronic concomitant DeBakey Type II and IIIa aortic dissection in a 51-year-old man and the 5-year postoperative follow-up of the patient's condition.

Keywords: Chronic concomitant aortic dissection; DeBakey Type II and IIIa aortic dissection; Stanford A and B; Thoracic Endovascular Aortic Repair; left subclavian artery; right ventricular systolic function.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Axial CT scan showing entrance tear in ascending aorta and in descending aorta.
Fig. 2
Fig. 2
Volume rendering CT scan showing three-dimensional view of the dissection location.
Fig. 3
Fig. 3
Angiography evaluation of the patient post- first TEVAR. Two stent grafts are visible, each of these in the ascending and the descending aorta without any contrast endoleak.
Fig. 4
Fig. 4
One month follow-up after the first TEVAR CT aorta showing both well-apposed stents graft placement without any contrast endoleak.
Fig. 5
Fig. 5
CT scan showing contrast endoleak type IV at a descending aorta stent graft.
Fig. 6
Fig. 6
CT aorta of second TEVAR showed a good position of the aortic ascending stent and second stent in the first stent graft at descending aorta without any endoleak.
Fig. 7
Fig. 7
Five years follow-up after the first TEVAR (2 years follow-up after re-TEVAR) CT aorta showing both good stents graft placement without any contrast endoleak.
See this image and copyright information in PMC

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