Рентгенология & Радиология, 2019, LVIII 47-51

Aortic arch vessel debranching and endovascular repair in aortic dissection De Bakey type III

  1. Groudeva, D. Petkov

Abstract.

Thoracic endovascular aortic repair is a proven minimally invasive technique in treating aortic dissection type III. However, the procedure is not always free of complications. Hereby we present a case of a 64 years old female patient treated by both surgical and endovascular approach. The patient presented with dissection type III and underwent endovascular stent graft. Due to post interventional endoleak type I the patient underwent surgical debranching and a second stent graft was placed. Preprocedural exact evaluation of the CT scans influenced the decision making and planning a successful treatment. Also CT is indispensable in monitoring results of endovascular procedures and assessing eventual complications performed at appropriate intervals.

Key words: TEVAR, ENDOVASCULAR PROCEDURES, AORTIC DISSECTION TYPE III, DEBRANCHING