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Review
. 2023 Mar 1;50(2):e227938.
doi: 10.14503/THIJ-22-7938.

Managing False Lumen Patency in Chronic Thoracic Aortic Dissecting Aneurysms With Coil Embolization

Yash Pradeep Vaidya  1 , Naveed Abdul Rahman  1 , Manu Kannan Arul  1 , Anthony Feghali  2 , Palma M Shaw  2 , Michael James Costanza  2
Affiliations
Review

Managing False Lumen Patency in Chronic Thoracic Aortic Dissecting Aneurysms With Coil Embolization

Yash Pradeep Vaidya et al. Tex Heart Inst J. .

Abstract

Thoracic endovascular aortic repair has become the preferred modality of treatment of complicated type B aortic dissections. However, persistent pressurization of the false lumen can lead to negative aortic remodeling with aneurysmal dilation. Described herein is the coil embolization technique that can be used to manage this complication and a review of the literature on the recent development of management options.

Keywords: Aortic dissection; embolization; thoracic endovascular repair.

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Conflict of interest statement

Conflict of Interest Disclosures: None

Figures

Fig. 1
Fig. 1
Computed tomography angiogram of the thorax shows the type B aortic dissection. Supplemental motion image is available for Figure 1.
Fig. 2
Fig. 2
Sagittal view of the computed tomography angiogram of the thorax shows the type B aortic dissection.
Fig. 3
Fig. 3
Computed tomography angiogram shows the type Ib endoleak with resultant aneurysmal dilation from false lumen pressurization. Supplemental motion image is available for Figure 3.
Fig. 4
Fig. 4
Intraoperative aortogram shows type Ib endoleak before coil placement.
Fig. 5
Fig. 5
Aortogram after placement of additional distal thoracic stent graft and coil embolization of the false lumen.
See this image and copyright information in PMC

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