Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Pediatric Surgery
  •  Breast Surgery
  •  Gynecological Surgery
  •  Orthopaedic Surgery
  •  Cardiovascular Surgery
  •  Thoracic Surgery
  •  Colon and Rectal Surgery
  •  Ophthalmic 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.

Search Our Journal

Journal Indexed In

Articles in PubMed

RAF Kinase Inhibitory Protein Expression and Phosphorylation Profiles in Oral Cancers
 PubMed  PMC  PDF  Full Text
Voice Outcomes in Laryngotracheal Stenosis: Impact of the Montgomery T-tube
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Chronic Mesenteric Volvulus with Superior Mesenteric Venous Thrombosis: A Case Report
 Abstract  PDF  Full Text
The Antibacterial Activity Comparison of Carbon-Based Nanofilm Coated Titanium Alloy and Co-Cr-Mo Alloy
 Abstract  PDF  Full Text
View More...