Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Otolaryngology - Head and Neck Surgery
- Cardiovascular Surgery
- Robotic Surgery
- Gastroenterological Surgery
- Vascular Surgery
- Neurological Surgery
- Urology
- Bariatric Surgery
Abstract
Citation: Clin Surg. 2017;2(1):1541.Case Report | Open Access
Application of Extensor Cuff for Pre-Treatment of Abdominal Aortic Aneurysm with Chronic Dissection of Proximal Neck
Yung-Szu Wu and Chung-Lin Tsai
Department of Cardiovascular Surgery, Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 40705, Taiwan
*Correspondance to: Chung-Lin Tsai
PDF Full Text DOI: 10.25107/2474-1647.1541
Abstract
Chronic aortic dissection involving the neck of an abdominal aortic aneurysm is rare. The application of endovascular surgery in the treatment of an aneurysm with neck dissection has rarely been reported. We report two cases with abdominal aortic aneurysm and a history of chronic type B aortic dissection who could not tolerate conventional surgery. The dissection flap in the neck of the aneurysm was unhealthy and thus unsuitable as a landing zone. Extensor cuff is used to augment the true lumen of a dissecting proximal neck of abdominal aortic aneurysm before implantation of a bifurcated trunk device. The radial force of the extensor cuff augments the adhesion of the dissection flap to the aortic wall. The post-operative angiography showed no type I endoleak or migration of stent-graft. The 6-month follow-up was uneventful and no re-intervention was required. The use of an extensor cuff for pre-treatment of an abdominal aortic aneurysm with chronic dissection of the neck may provide an alternative treatment method for selected patients.
Keywords
Abdominal aortic aneurysm; Aneurysm; Dissection; Endovascular therapy; Endovascular aneurysm repair
Cite the article
Wu Y-S, Tsai C-L. Application of Extensor Cuff for Pre-Treatment of Abdominal Aortic Aneurysm with Chronic Dissection of Proximal Neck. Clin Surg. 2017; 2: 1541.