Zone Zero Thoracic Endovascular Repair for Acute Type A Aortic Dissection

Yi Lee1, Wei-Ling Chen2,3, Chung-Dann Kan4*

1College of Medicine, National Cheng Kung University Tainan, Taiwan 2School of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taiwan 3Institute Food and Drug Administration, Ministry of Health Welfare, Taiwan 4Department of Surgery, Division of Cardiovascular Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan

^*Correspondance to: Chung-Dann Kan 

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Abstract:

Objectives: Endovascular stenting of the ascending aorta has been performed for various aortic pathologies, especially in patients with Type A Acute Aortic Dissection (TAAAD) for whom open surgery is prohibitively risky. Methods: This case is of an 88-year-old man with multiple comorbidities with TAAAD. Results: A percutaneous thoracic endovascular aortic repair was successfully performed with three stents to cover zones 0B and 0C. Conclusion: The Medtronic Valiant Navion stent graft system is useful for treating cases of TAAAD because it has the advantages of a reduced profile delivery system, and its offering of two types of proximal configurations.

Keywords:

Type A Acute Aortic Dissection (TAAAD); Thoracic Endovascular Aortic Repair (TEVAR); 3D reconstruction

Cite the Article:

Lee Y, Chen W-L, Kan C-D. Zone Zero Thoracic Endovascular Repair for Acute Type A Aortic Dissection. Ann Clin Case Rep. 2022; 7: 2163..