Hybrid Strategy for Residual Arch and Thoracic Aortic Dissection following Acute Type A Aortic Dissection Repair
Figure 2
(a) Digital subtraction angiogram prior to stent graft deployment showing patent grafts taking inflow from previously placed ascending aortic graft with 10 mm graft to left common carotid artery (black arrow), piggybacking an 8 mm graft to left common carotid artery (white arrow), and another 8 mm graft to left subclavian artery (red arrow). The native stumps of the debranched arch vessels are also seen (blue arrow). (b) Check angiogram after stent graft deployment showing opened-up true lumen and nonopacification of false lumen. (c) CT angiogram, volume-rendered 3D image at 1 year follow-up showing patent bypass grafts, significantly remodelled aorta, and near-total thrombosis of false lumen.
