Candy-plug technique for ruptured chronic type B aortic dissection. (November 2019)

• Record Type: Journal Article
• Authors: Morisaki, Akimasa; Sohgawa, Etsuji; Kishimoto, Noriaki; Yamane, Kokoro; Shibata, Toshihiko
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 27:Number 9(2019)
• Page Start: 770
• Page End: 772
• Publication Date: 2019-11
• Subjects: Aneurysm -- dissecting -- aortic aneurysm -- thoracic -- aortic rupture -- blood vessel prosthesis implantation -- endovascular procedures; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492319853734
• Languages: English
• ISSNs: 0218-4923

Abstract

Ruptured chronic type B aortic dissection is conventionally repaired surgically; however, the mortality is high. We report successful use of the candy-plug technique for ruptured chronic type B aortic dissection. A 62-year-old man with ruptured type IIIb dissection was transferred to our hospital as an emergency. Computed tomography angiography showed a dissecting aorta with a patent false lumen, ruptured proximal descending aorta, distal aortic arch entry, and mediastinal hematoma. Debranching endovascular repair with the candy-plug technique achieved occlusion of the false lumen of the ruptured aortic dissection. The patient recovered uneventfully and the false lumen gradually decreased with no endoleak.