Stent graft repair of descending aortic dissection in patients with Marfan syndrome: An effective alternative to open reoperation? Luca Botta, MD, Vincenzo.

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Stent graft repair of descending aortic dissection in patients with Marfan syndrome: An effective alternative to open reoperation? Luca Botta, MD, Vincenzo.

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Stent graft repair of descending aortic dissection in patients with Marfan syndrome: An effective alternative to open reoperation? Luca Botta, MD, Vincenzo Russo, MD, Cesare La Palombara, MD, Marzia Rosati, MD, Roberto Di Bartolomeo, MD, Rossella Fattori, MD The Journal of Thoracic and Cardiovascular Surgery Volume 138, Issue 5, Pages 1108-1114 (November 2009) DOI: 10.1016/j.jtcvs.2009.03.014 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Volume-rendering (A) and maximum-intensity projection (MIP) images (B) of the acute aortic type B dissection with the entry tear at the level of the left subclavian artery ostium in a patient with Marfan syndrome initially operated on for an annuloaortic ectasia and proximal arch aneurysm. In panel A the white arrow shows the vascular graft used for ascending aortic and arch replacement. Dissection of the descending aorta in axial projection is shown in panel C. Volume-rendering (D) and MIP images (E) show a correct position of the stent graft and the absence of endoleak 3 months after the procedure; the white asterisk indicates patency of the false lumen (FL) distally to the implanted graft. Panel F shows the complete thrombosis of the FL in the descending thoracic aorta in axial projection after 3 months. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1108-1114DOI: (10.1016/j.jtcvs.2009.03.014) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Freedom from any type of endoleak. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1108-1114DOI: (10.1016/j.jtcvs.2009.03.014) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Freedom from any type of reoperation (surgical and endovascular). The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1108-1114DOI: (10.1016/j.jtcvs.2009.03.014) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions