Hybrid Thoracic Endovascular Aortic Repair by Creating a Distal Landing Zone with Aortic Reduction Plasty and Open Fenestration

Abstract

Introduction

The effectiveness of thoracic endovascular aortic repair (TEVAR) in patients with chronic aortic dissection is controversial due to the unpredictable remodelling of the aorta.

Report

We report a case of hybrid TEVAR by making a distal landing zone with aortic reduction plasty and open fenestration in a high-risk patient with chronic aortic dissection.

Discussion

As survival after acute type 1 aortic dissection has shown improvement, more patients with dissecting aneurysm require surgical correction. This novel technique can be a reasonable treatment modality for patients with chronic aortic dissection.