Japanese Journal of Cardiovascular Surgery Vol.50, No.2

Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm due to Triple-Channeled Chronic Aortic Dissection Stanford Type B in an Elderly Patient with Marfan Syndrome
Masayuki Nishiyama* Yoshimasa Seike* Yosuke Inoue*
Kyokun Uehara* Hiroaki Sasaki* Hitoshi Matsuda*

(Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center*, Suita, Japan)

An 84-year-old female with Marfan syndrome and a history of multiple aortic surgeries developed a triple-channel type B aortic dissection. A new entry was located at the proximal descending aorta and a false lumen was patent. Because of persistent back pain, her age, and a complicated surgical history, thoracic endovascular aortic repair(TEVAR)was conducted to close the new entry tear. Postoperative enhanced computed tomography revealed a thrombosed false lumen of the proximal descending aorta. There was no enlargement of the descending aorta four years post-surgery. TEVAR is an alternative procedure for treating aortic dissection in elderly patients, even with Marfan syndrome.


Jpn. J. Cardiovasc. Surg. 50:133-136(2021)

Keywords:TEVAR;Marfan syndrome;aortic dissection

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