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

摘要

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.