Successful "PETTICOAT" procedure assisted by aortic angioscopy for complicated type B aortic dissection: Case report.

ABSTRACT:

Introduction

Thoracic endovascular aortic repair (TEVAR) is a useful treatment for acute type B aortic dissection (TBAD). A PETTICOAT (Provisional ExTension to Induce COmplete ATtachment) procedure can be an alternative surgical option for a patent false lumen. Non-obstructive aortic angioscopy is an attractive modality that can visualize the aortic intima for things such as entry or re-entry tears that are difficult to detect with computed tomography (CT). Herein, we describe a successful PETTICOAT procedure assisted by aortic angioscopy for subacute TBAD complicated by lower limb ischemia.

Presentation of case

A 63-year-old man who had been treated with conservative therapy for subacute TBAD had intermittent claudication. Enhanced CT revealed a primary entry tear at the di

SUBMITTER: Sakakibara S 

PROVIDER: S-EPMC10369472 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature