Use of ASD closure device for the sealing of false lumen entry in the ascending aorta after dissection Type A surgical repair

Abstract

We present a case of a persistent false lumen after ascending aorta replacement due to Stanford Type A dissection treated by endovascular means. The main entry tear was occluded with an atrial septal defect closure device, sealing the false lumen. A total of five additional stents were implanted to centralise and secure the flow in the true lumen. CT scan at 6-month follow-up showed excellent results with a decreased total aortic diameter and thrombosed false lumen.

Atrial septal defect occluder combined with stent graft for the management of post-dissection aortic aneurysm previously treated with unsuccessful coils: a case report

“…Hu and coworkers used an atrial septal defect occluder for the first time to close a distal tear in a patient with type B aortic dissection in 2014 [ 7 ]. Subsequently, Petrov et alreported a case of sealing of the false lumen entry in the ascending aorta after dissection Type A surgical repair with the atrial septal defect occluder [ 8 ]. In the largest series of 37 patients with chronic DeBakey IIIb aortic dissection treated with arterial septal occluders, Lu and associates reported complete thrombosis of the false lumen in 91.9% patients [ 9 ].…”