In situ laser fenestration of aortic septum to bridge false and true lumen during endovascular repair of aortic dissection

Alexander D DiBartolomeo; Elizabeth Miranda; Sukgu M Han; Gregory A Magee

doi:10.1016/j.jvscit.2023.101312

In situ laser fenestration of aortic septum to bridge false and true lumen during endovascular repair of aortic dissection

J Vasc Surg Cases Innov Tech. 2023 Sep 4;10(3):101312. doi: 10.1016/j.jvscit.2023.101312. eCollection 2024 Jun.

Authors

Alexander D DiBartolomeo¹, Elizabeth Miranda¹, Sukgu M Han¹, Gregory A Magee¹

Affiliation

¹ Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA.

Abstract

Fenestration of the septum between the true and false lumen might be necessary after aortic dissection. We report the technical aspects of in situ laser fenestration of the aortic dissection septum. Two illustrative cases are provided: a 56-year-old man with false lumen deployment of a frozen elephant trunk graft, and a 67-year-old man who underwent fenestrated endovascular aortic repair with a target branch vessel off the false lumen. In both cases, the septum was crossed using in situ laser fenestration. This technique is a precise option to enable passage between true and false lumens during endovascular repair of an aortic dissection.

Keywords: Aortic dissection; Endovascular aortic repair; Laser in situ fenestration.