A Case of Using “PETTICOAT” Technique for DeBakey Type I Aortic Dissection after Aortic Arch Replacement to Promote Distal Aortic Remodeling
Advances in Surgical Sciences
Volume 4, Issue 5, October 2016, Pages: 23-25
Received: Dec. 6, 2016; Accepted: Dec. 21, 2016; Published: Jan. 17, 2017
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Authors
Yasushi Tashima, Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan
Kei Kazuno, Department of Cardiovascular Surgery, Itabashi Chuo General Hospital, Itabashi, Japan
Koichi Tamai, Department of Cardiovascular Surgery, Kasukabe Chuo General Hospital, Kasukabe, Japan
Kenichiro Sato, Department of Cardiovascular Surgery, Kasukabe Chuo General Hospital, Kasukabe, Japan
Atsushi Yamaguchi, Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan
Hideo Adachi, Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan
Toshiyuki Kobinata, Department of Cardiovascular Surgery, Kasukabe Chuo General Hospital, Kasukabe, Japan
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Abstract
A 41-year-old man with acute type A aortic dissection was referred. Computed tomography (CT) revealed dissection with patent false lumen from the ascending to abdominal aorta and the narrowed true lumen of the abdominal aorta. Although emergency partial aortic arch replacement was performed, no entry tear was found. Postoperative CT revealed the residual entry tear in the descending aorta and the descending aorta was dilated to 46 mm. On postoperative day 68, thoracic endovascular aortic repair and interclavicular bypass were performed. The postoperative course was favorable. CT confirmed closure of the entry tear and dilatation of the true lumen.
Keywords
TEVAR, Aortic Dissection, PETTICOAT Technique
To cite this article
Yasushi Tashima, Kei Kazuno, Koichi Tamai, Kenichiro Sato, Atsushi Yamaguchi, Hideo Adachi, Toshiyuki Kobinata, A Case of Using “PETTICOAT” Technique for DeBakey Type I Aortic Dissection after Aortic Arch Replacement to Promote Distal Aortic Remodeling, Advances in Surgical Sciences. Vol. 4, No. 5, 2016, pp. 23-25. doi: 10.11648/j.ass.20160405.11
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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