Repair of Acute Type B Aortic Dissection Complicated by Aortic Rupture with Debranching Thoracic Endovascular Aortic Repair and Left Subclavian Artery Occlusion Using Amplatzer Vascular Plug II

Yasunori Iida; Tsutomu Ito; Sachiko Hayashi; Tatsuo Takahashi; Takahiko Misumi; Takashi Hachiya; Hideyuki Shimizu

doi:10.3400/avd.cr.15-00040

Repair of Acute Type B Aortic Dissection Complicated by Aortic Rupture with Debranching Thoracic Endovascular Aortic Repair and Left Subclavian Artery Occlusion Using Amplatzer Vascular Plug II

Ann Vasc Dis. 2015;8(3):252-4. doi: 10.3400/avd.cr.15-00040. Epub 2015 Jun 15.

Authors

Yasunori Iida¹, Tsutomu Ito¹, Sachiko Hayashi¹, Tatsuo Takahashi¹, Takahiko Misumi¹, Takashi Hachiya², Hideyuki Shimizu²

Affiliations

¹ Department of Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan.
² Department of Cardiovascular Surgery, Keio University, Tokyo, Japan.

Abstract

An 88-year-old man with severe chest pain and syncope was admitted to our hospital. Contrast-enhanced computed tomography (CT) revealed acute type B aortic dissection with rupture. Considering age and operative risk, we performed emergency thoracic aortic endovascular repair with two-debranching of the left common carotid and left subclavian arteries. To prevent type II endoleak, we used Amplatzer Vascular Plug (AVP) II for left subclavian artery embolization. Postoperative contrast-enhanced CT showed no type II endoleak and rupture site exclusion. As postoperative persistent blood flow to the primary entry or rupture site causes re-rupture, AVP II was crucial in preventing type II endoleak.

Keywords: aortic dissection; endovascular procedures.

Publication types

Case Reports