Recurrent Aortic Dissection in a Patient With an Actin Mutation Treated With a Laser-Fenestrated Aortic Arch Stent-Graft. (August 2018)

• Record Type: Journal Article
• Authors: Cullen, J. Michael; Ailawadi, Gorav; Angle, John F.; Thomas, Matthew; Upchurch, Gilbert R.
• Is Part Of: Vascular & endovascular surgery. Volume 52:Number 6(2018)
• Page Start: 469
• Page End: 472
• Publication Date: 2018-08
• Subjects: aneurysm -- aortic aneurysm -- stent-graft -- vascular surgical procedures -- endovascular procedures; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574418770847
• Languages: English
• ISSNs: 1538-5744

Abstract

A 58-year-old African American female, who had previously undergone a valve-sparing aortic root replacement for a type A dissection, represented 2 months later with a new focal dissection and aneurysm with intramural hematoma just distal to the origin of the left subclavian artery. Since no landing zone distal to the subclavian artery existed, the patient underwent thoracic endovascular aortic repair with laser fenestration-aided stent-graft placement in the left subclavian artery. The patient recovered without complication, and 52 months later, she is doing well with normal renal function and ambulatory status.