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Candy-plug technique for ruptured chronic type B aortic dissection
Author(s) -
Morisaki Akimasa,
Sohgawa Etsuji,
Kishimoto Noriaki,
Yamane Kokoro,
Shibata Toshihiko
Publication year - 2019
Publication title -
asian cardiovascular and thoracic annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.203
H-Index - 27
eISSN - 1816-5370
pISSN - 0218-4923
DOI - 10.1177/0218492319853734
Subject(s) - medicine , aortic dissection , dissection (medical) , surgery , aorta , descending aorta , radiology , lumen (anatomy) , aortic arch , occlusion , angiography
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.

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