Aortic septotomy to optimize landing zones during thoracic endovascular aortic repair for chronic type B aortic dissection.

Shinichi Fukuhara,Minhaj S Khaja,David M Williams,Xhorlina Marko,Bo Yang,Himanshu J Patel,Karen M Kim

The Journal of thoracic and cardiovascular surgery（2023）

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摘要

Stand-alone thoracic endovascular aortic repair outcomes without adjunctive procedures for chronic type B aortic dissection remain unfavorable. In contrast, landing zone optimization using aortic septotomy resulted in a remarkably higher positive aortic remodeling rate. Routine aortic septotomy strategy may positively affect long-term chronic type B aortic dissection survival and expand thoracic endovascular aortic repair candidacy.

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关键词

aortic remodeling,aortic septotomy,chronic type B aortic dissection,degenerative aortic aneurysm,residual type B aortic dissection,thoracic endovascular aortic repair

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