ENDOVASCULAR AORTIC REPAIR WITH CARDIATIS MULTILAYER FLOW MODULATOR IN A PATIENT UNDERWENT ASCENDING AORTIC REPLACEMENT FOR TYPE I AORTIC DISSECTION

TH HEALTH SCIENCES AND INNOVATION CONGRESS , Baku, Azerbaycan, 5 - 06 Temmuz 2021, ss.532-538

ABSTRACT

Aneurysmatic dilatation can be seen frequently in the remaining parts of the aorta over the years

after ascending aortic replacement for Type I aortic dissection. We present the treatment of

dissecting aortic aneurysm that occurred years later in a patient who had ascending aortic graft

replacement due to Type I aortic dissection using Cardiatis multi-layer flow modulator

(MFM®).

A 72-year-old female patient who underwent ascending aortic replacement 9 years ago for Type

I aortic dissection. Computed tomography (CT) showed chronic dissection and aneurysmal

dilatation from the aortic arch to the iliac arteries in the continuation the replaced ascending

aortic graft. The thoracic aortic diameter was 5 cm and the abdominal was 3 cm.

Because, MFM® allows excellent patency of the branches and supports its safety and

performance, with no paraplegia, visceral or renal insult, we decided to perform an

endovascular procedure using MFM® from the ascending aorta to the iliac arteries in order to

preserve vital branches patency. We performed the endovascular intervention using 2 aortic and

2 peripheral MFM® stents successfully (Figure 1).

Despite the advancement of open surgical techniques, graft materials and technological

possibilities, there is still a 30% mortality rate associated with open surgical repair for these

patients. Endovascular repair has produced promising results in that high-risk patients. The

MFM endovascular treatment has been shown to be a life-saving option in patients who have

previously undergone cardiac surgery and alternative to open surgery in selected patient groups

with Type I aortic dissection.

Keywords: Multilayer flow modulator, Aortic dissection, Aortic aneurysm, Endovascular

repair.