Korean J Thorac Cardiovasc Surg 2018; 51(4): 286-289  https://doi.org/10.5090/kjtcs.2018.51.4.286
Favorable Aortic Remodeling Following Serial False Lumen Procedures in a Case of Chronic Type IIIb Dissection
Ahmed Sameh Eleshra, M.D.1,2, Woon Heo, M.D.1, Kwang-Hun Lee, M.D., Ph.D.3, Shin-Young Lee, M.D.1, Ha Lee, M.D.1, Suk-Won Song, M.D., Ph.D.1
1Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 2Department of Vascular Surgery, Mansoura University Hospital, Mansoura University Faculty of Medicine, 3Department of Interventional Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine
Corresponding author: Suk-Won Song, Department of Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul 06273, Korea
(Tel) 82-2-2019-3380 (Fax) 82-2-2019-8282 (E-mail) sevraphd@yuhs.ac
Received: September 25, 2017; Revised: February 14, 2018; Accepted: May 2, 2018.; Published online: August 5, 2018.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
We report a case of acute type I aortic dissection in which an emergency graft replacement of the ascending aorta and innominate artery was performed. We performed false lumen thrombosis through hybrid thoracic endovascular aortic repair to seal the primary entry tear, followed by false lumen obliteration at the level of the descending thoracic aorta, abdominal aorta, and right common iliac artery. Over a period of 4.5 years, we used Amplatzer vascular plugs and coils based on our computed tomography angiography follow-up protocol.
Keywords: Aorta, Dissection, Vascular remodeling


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