{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:40:02Z","timestamp":1753890002157,"version":"3.41.2"},"reference-count":10,"publisher":"IMR Press","issue":"4","license":[{"start":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T00:00:00Z","timestamp":1640131200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Cardiovasc. Med."],"abstract":"<jats:p>Aortic aneurysm is an enlargement of the aorta with a loss of the arterial wall parallelism. There are several possible causes concerning etiology, one of which is the postsurgical presence of a patent distal false lumen. An aortic aneurysm is mainly seen after a surgery for type A aortic dissection and it represents an important late complication. Even more, in some cases the abdominal aortic aneurysm could be complicated by a patent distal false lumen, which makes it challenging for further treatment. We present a case of a 44-year-old male patient with Marfan syndrome and the history of a surgical repair of type A aortic dissection. He was diagnosed with a large abdominal aortic aneurysm and patent distal false lumen. In this report, we describe our technique and the outcome for endovascular fenestration of the persistent intimal flap and the stent-graft implantation for abdominal aortic aneurysm isolation after the surgery for aortic dissection type A. Our technique presents a novelty approach to patients with abdominal aortic aneurysm, complicated with a patent distal false lumen.<\/jats:p>","DOI":"10.31083\/j.rcm2204159","type":"journal-article","created":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T02:04:36Z","timestamp":1640225076000},"source":"Crossref","is-referenced-by-count":0,"title":["Fenestration of the intima to facilitate successful endovascular repair of a dissecting abdominal aneurysm"],"prefix":"10.31083","volume":"22","author":[{"given":"Zoran","family":"Stankov","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, Acibadem City Clinic, Cardiovascular Center, 1000 Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivo","family":"Petrov","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, Acibadem City Clinic, Cardiovascular Center, 1000 Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Strahil","family":"Vasilev","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, Acibadem City Clinic, Cardiovascular Center, 1000 Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lyubinka","family":"Yanevska","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, Acibadem City Clinic, Cardiovascular Center, 1000 Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","published-online":{"date-parts":[[2021,12,22]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). European Heart Journal. 2014; 35: 2873\u20132926.","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. The Journal of the American Medical Association. 2000; 283: 897\u2013903.","DOI":"10.1001\/jama.283.7.897"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Tsagakis K, Tossios P, Kamler M, Benedik J, Natour D, Eggebrecht H, et al. The DeBakey classification exactly reflects late outcome and re-intervention probability in acute aortic dissection with a slightly modified type II definition. European Journal of Cardio-Thoracic Surgery. 2011; 40: 1078\u20131084.","DOI":"10.1016\/j.ejcts.2011.03.037"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Debakey ME, Henly WS, Cooley DA, Morris GC, Crawford ES, Beall AC. Surgical Management of Dissecting Aneurysms of the Aorta. The Journal of Thoracic and Cardiovascular Surgery. 1965; 49: 130\u2013149.","DOI":"10.1016\/S0022-5223(19)33323-9"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Gariboldi V, Grisoli D, Kerbaul F, Giorgi R, Riberi A, Metras D, et al. Long-term outcomes after repaired acute type a aortic dissections. Interactive Cardiovascular and Thoracic Surgery. 2007; 6: 47\u201351.","DOI":"10.1510\/icvts.2006.136606"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Kirsch M, Soustelle C, Hou\u00ebl R, Hillion ML, Loisance D. Risk factor analysis for proximal and distal reoperations after surgery for acute type a aortic dissection. The Journal of Thoracic and Cardiovascular Surgery. 2002; 123: 318\u2013325.","DOI":"10.1067\/mtc.2002.119702"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Leontyev S, Haag F, Davierwala PM, Lehmkuhl L, Borger MA, Etz CD, et al. Postoperative Changes in the Distal Residual Aorta after Surgery for Acute Type a Aortic Dissection: Impact of False Lumen Patency and Size of Descending Aorta. The Thoracic and Cardiovascular Surgeon. 2017; 65: 90\u201398.","DOI":"10.1055\/s-0036-1571813"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Kimura N, Tanaka M, Kawahito K, Yamaguchi A, Ino T, Adachi H. Influence of patent false lumen on long-term outcome after surgery for acute type a aortic dissection. The Journal of Thoracic and Cardiovascular Surgery. 2008; 136: 1160\u20131163.","DOI":"10.1016\/j.jtcvs.2008.05.052"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Midulla M, Renaud A, Martinelli T, Koussa M, Mounier-Vehier C, Prat A, et al. Endovascular fenestration in aortic dissection with acute malperfusion syndrome: immediate and late follow-up. The Journal of Thoracic and Cardiovascular Surgery. 2011; 142: 66\u201372.","DOI":"10.1016\/j.jtcvs.2010.07.081"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Barshes NR, Gravereaux EC, Semel M, Bolman RM, Belkin M. Endovascular longitudinal fenestration and stent graft placement for treatment of aneurysms developing after chronic type B aortic dissection. Journal of Vascular Surgery. 2015; 61: 1366\u20131369.","DOI":"10.1016\/j.jvs.2015.01.038"}],"container-title":["Reviews in Cardiovascular Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.imrpress.com\/journal\/RCM\/22\/4\/10.31083\/j.rcm2204159","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T17:51:14Z","timestamp":1732729874000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/RCM\/22\/4\/10.31083\/j.rcm2204159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,22]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"alternative-id":["S1530-6550(21)00276-3"],"URL":"https:\/\/doi.org\/10.31083\/j.rcm2204159","relation":{},"ISSN":["1530-6550","2153-8174"],"issn-type":[{"type":"print","value":"1530-6550"},{"type":"electronic","value":"2153-8174"}],"subject":[],"published":{"date-parts":[[2021,12,22]]},"article-number":"1547"}}