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A Case of Using “PETTICOAT” Technique for DeBakey Type I Aortic Dissection after Aortic Arch Replacement to Promote Distal Aortic Remodeling

Received: 6 December 2016     Accepted: 21 December 2016     Published: 17 January 2017
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Abstract

A 41-year-old man with acute type A aortic dissection was referred. Computed tomography (CT) revealed dissection with patent false lumen from the ascending to abdominal aorta and the narrowed true lumen of the abdominal aorta. Although emergency partial aortic arch replacement was performed, no entry tear was found. Postoperative CT revealed the residual entry tear in the descending aorta and the descending aorta was dilated to 46 mm. On postoperative day 68, thoracic endovascular aortic repair and interclavicular bypass were performed. The postoperative course was favorable. CT confirmed closure of the entry tear and dilatation of the true lumen.

Published in Advances in Surgical Sciences (Volume 4, Issue 5)
DOI 10.11648/j.ass.20160405.11
Page(s) 23-25
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

TEVAR, Aortic Dissection, PETTICOAT Technique

References
[1] Trimarchi S, Nienaber CA, Rampoldi V, Myrmel T, Suzuki T, Mehta RH et al. International Registry of Acute Aortic Dissection Investigators. Contemporary results of surgery in acute type A aortic dissection: the international registry of acute aortic dissection experience. J Thorac Cardiovasc Surg 2005; 129: 112-22.
[2] Mossop PJ, McLachlan CS, Amukotuwa SA, Nixon IK. Staged endovascular treatment for complicated type B aortic dissection. Nat Clin Pract Cardiovasc Med 2005; 2: 316-21.
[3] Melissano G, Bertoglio L, Rinaldi E, Civilini E, Tshomba Y, Kahlberg A, et al. Volume changes in aortic true and false lumen after the “PETTICOAT” procedure for type B aortic dissection. J Vasc Surg 2012; 55: 641-51.
[4] Bonser RS, Ranasinghe AM, Loubani M, Evans JD, Thalji NM, Bachet JE et al. Evidence, lack of evidence, controversy, and debate in the provision and performance of the surgery of acute type A aortic dissection. J Am Coll Cardiol 2011; 58: 2455-74.
[5] Matsumura JS, Cambria RP, Dake MD, Moore RD, Svensson LG, Snyder S, TX2 Clinical Trial Investigators International controlled clinical trial of thoracic endovascular aneurysm repair with the Zenith TX2 endovascular graft: 1-year results J Vasc Surg, 2008; 47: 247-257.
[6] Lombardi JV, Cambria RP, Nienaber CA, Chiesa R, Mossop P, Haulon S, et al. Aortic remodeling after endovascular treatment of complicated type B aortic dissection with the use of a composite device design. J Vasc Surg 2014; 59: 1544-54.
[7] Kunishige H, Myojin K, Ishibashi Y, Ishii K, Kawasaki M, Oka J. Predictors of surgical indications for acute type B aortic dissection based on enlargement of aortic diameter during the chronic phase Jpn J Thorac Cardiovasc Surg, 2006; 54: 477-482.
[8] Hsu HL, Chen YY, Huang CY, Huang JH, Chen JS. The Provisional Extension To Induce Complete Attachment (PETTICOAT) technique to promote distal aortic remodelling in repair of acute DeBakey type I aortic dissection: preliminary results. Eur J Cardiothorac Surg 2016; 50 (1): 146-52.
[9] Feezor RJ, Martin TD, Hess Jr PJ, Daniels MJ, Beaver TM, Klodell CT et al. Extent of aortic coverage and incidence of spinal cord ischemia after thoracic endovascular aneurysm repair Ann Thorac Surg, 2008; 86: 1809-14.
[10] Dong Z, Fu W, Wang Y, Wang C, Yan Z, Guo D, et al. Stent graft-induced new entry after endovascular repair for Stanford type B aortic dissection. J Vasc Surg, 2010; 52: 1450-7.
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  • APA Style

    Yasushi Tashima, Kei Kazuno, Koichi Tamai, Kenichiro Sato, Atsushi Yamaguchi, et al. (2017). A Case of Using “PETTICOAT” Technique for DeBakey Type I Aortic Dissection after Aortic Arch Replacement to Promote Distal Aortic Remodeling. Advances in Surgical Sciences, 4(5), 23-25. https://doi.org/10.11648/j.ass.20160405.11

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    ACS Style

    Yasushi Tashima; Kei Kazuno; Koichi Tamai; Kenichiro Sato; Atsushi Yamaguchi, et al. A Case of Using “PETTICOAT” Technique for DeBakey Type I Aortic Dissection after Aortic Arch Replacement to Promote Distal Aortic Remodeling. Adv. Surg. Sci. 2017, 4(5), 23-25. doi: 10.11648/j.ass.20160405.11

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    AMA Style

    Yasushi Tashima, Kei Kazuno, Koichi Tamai, Kenichiro Sato, Atsushi Yamaguchi, et al. A Case of Using “PETTICOAT” Technique for DeBakey Type I Aortic Dissection after Aortic Arch Replacement to Promote Distal Aortic Remodeling. Adv Surg Sci. 2017;4(5):23-25. doi: 10.11648/j.ass.20160405.11

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  • @article{10.11648/j.ass.20160405.11,
      author = {Yasushi Tashima and Kei Kazuno and Koichi Tamai and Kenichiro Sato and Atsushi Yamaguchi and Hideo Adachi and Toshiyuki Kobinata},
      title = {A Case of Using “PETTICOAT” Technique for DeBakey Type I Aortic Dissection after Aortic Arch Replacement to Promote Distal Aortic Remodeling},
      journal = {Advances in Surgical Sciences},
      volume = {4},
      number = {5},
      pages = {23-25},
      doi = {10.11648/j.ass.20160405.11},
      url = {https://doi.org/10.11648/j.ass.20160405.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20160405.11},
      abstract = {A 41-year-old man with acute type A aortic dissection was referred. Computed tomography (CT) revealed dissection with patent false lumen from the ascending to abdominal aorta and the narrowed true lumen of the abdominal aorta. Although emergency partial aortic arch replacement was performed, no entry tear was found. Postoperative CT revealed the residual entry tear in the descending aorta and the descending aorta was dilated to 46 mm. On postoperative day 68, thoracic endovascular aortic repair and interclavicular bypass were performed. The postoperative course was favorable. CT confirmed closure of the entry tear and dilatation of the true lumen.},
     year = {2017}
    }
    

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    AU  - Yasushi Tashima
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    AB  - A 41-year-old man with acute type A aortic dissection was referred. Computed tomography (CT) revealed dissection with patent false lumen from the ascending to abdominal aorta and the narrowed true lumen of the abdominal aorta. Although emergency partial aortic arch replacement was performed, no entry tear was found. Postoperative CT revealed the residual entry tear in the descending aorta and the descending aorta was dilated to 46 mm. On postoperative day 68, thoracic endovascular aortic repair and interclavicular bypass were performed. The postoperative course was favorable. CT confirmed closure of the entry tear and dilatation of the true lumen.
    VL  - 4
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Author Information
  • Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan

  • Department of Cardiovascular Surgery, Itabashi Chuo General Hospital, Itabashi, Japan

  • Department of Cardiovascular Surgery, Kasukabe Chuo General Hospital, Kasukabe, Japan

  • Department of Cardiovascular Surgery, Kasukabe Chuo General Hospital, Kasukabe, Japan

  • Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan

  • Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan

  • Department of Cardiovascular Surgery, Kasukabe Chuo General Hospital, Kasukabe, Japan

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