Aortic Septotomy to Optimize Landing Zones During Thoracic Endovascular Aortic Repair for Chronic Type B Aortic Dissection

Submitted by: Christopher Anderson

Source: Journal of Thoracic and Cardiovascular Surgery
Source URL: https://doi.org/10.1016/j.jtcvs.2021.07.049

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Author(s): Shinichi Fukuhara, MD, Minhaj S. Khaja, MD, MBA, David M. Williams, MD, Xhorlina Marko, MD, Bo Yang, MD, PhD, Himanshu J. Patel, MD, Karen M. Kim, MD, MSc

This paper shows that landing zone optimization using aortic septotomy resulted in a much higher positive aortic remodeling rate, whereas standalone TEVAR outcomes without adjunctive procedures for cTBAD were unfavorable. The authors show that routine aortic septotomy may have a positive effect on long-term cTBAD survival and expand TEVAR candidacy.

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