Endovascular fenestration of aortic dissection membrane after failed frozen elephant trunk procedure
2020
Abstract
We report a case of a 51-year-old male with complicated acute typ. A aortic dissection who initially underwent a supracoronary and aortic arch replacement using frozen elephant trunk technique.
False-lumen perfusion was revealed later which resulted in the collapse of the true lumen. Endovascular fenestration of the dissection flap was performed.
True-lumen reperfusion with false-lumen regresion was achieved. Endovascular fenestration using a re-entry catheter represents an efficient and safe treatment approach for this rate but serious complication.