Surgical stent-graft implantation by open procedure for type B aortic dissection w ithout optimal landing zone

摘要

cqvip:Thoracic endovascular aortic repair(TEVAR)has been considered as a first-choice treatment for type B aortic dissection(TBAD).However,some patients that is lack of optimal landing zones(<15 mm in dissected Z2,Z3 or the presence of a lusorian artery)still pose significant challenges for TEVAR.We utilized a surgical stent-graft implantation in the descending aorta combined with supra-aortic vessels transposition through median sternotomy for these special TBAD patients.The short-and mid-term results showed that our procedure is a good and alternative therapy for such kind patients.