Affiliation:
1. Huazhong University of Science and Technology Tongji Medical College First Clinical College: Huazhong University of Science and Technology Tongji Medical College First Clinical College Union Hospital
Abstract
Abstract
Background: This case report describes a rare complication encountered in a 37-year-old male patient with subacute Type A aortic dissection.
Case presentations: The patient underwent a Bentall procedure, total arch replacement, descending thoracic aorta elephant trunk stent implantation, mitral valve repair, and tricuspid valve repair. Postoperatively, the patient exhibited poor blood flow in the lower extremities and kidneys. Digital Subtraction Angiography (DSA) revealed an angulation and stenosis at the proximal end of the elephant trunk stent, leading to inadequate blood supply. Balloon angioplasty and stent graft implantation were performed using a Thoracic Endovascular Aortic Repair (TEVAR) approach to restore blood flow.
Conclusions: The case highlights the importance of prompt diagnosis and the effectiveness of TEVAR in addressing inadequate aortic remodeling.
Publisher
Research Square Platform LLC
Reference13 articles.
1. Total arch replacement combined with stented elephant trunk implantation for Stanford type A aortic dissection;Lizhong S;Chin J Surg,2004
2. o. G. V. o. C. A. o. C., Chinese experts' consensus of standardized diagnosis and treatment for aortic dissection;Surgeons TC;Chin J Thorac Cardiovasc Surg,2017
3. Total arch replacement and frozen elephant trunk for acute type A aortic dissection;Iino K;J Thorac Cardiovasc Surg,2022
4. Endovascular repair of residual intimal tear or distal new entry after frozen elephant trunk for type A aortic dissection;Pan XD;J Thorac Dis,2017
5. Frequency, predictive factors, and consequences of stent-graft kink following endovascular AAA repair;Fransen GA;J Endovasc Ther,2003