{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T05:42:02Z","timestamp":1770097322366,"version":"3.49.0"},"reference-count":13,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCDD"],"abstract":"<jats:p>Endovascular techniques are commonly employed for type B aortic dissections and are rarely reported for type A dissections. We present the case of a 78-year-old female diagnosed with a type A aortic dissection, with coronary arteries and supra-aortic vessels perfused from the true lumen and no significant aortic valve dysfunction. Given her recent cardiovascular surgery, the anticipated prolonged recovery, and multiple comorbidities, a percutaneous approach was preferred, with classical surgery available as stand by. The patient underwent endovascular treatment using two self-expandable, double-disc atrial septal defect occlusion devices. Intracardiac echocardiography facilitated device deployment, offering superior visualization compared with transesophageal echocardiography, which can be partially obscured by the left pulmonary artery. To our knowledge, the false lumen-to-true lumen approach in percutaneous management of type A aortic dissection has not been previously described.<\/jats:p>","DOI":"10.3390\/jcdd13020072","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T16:12:37Z","timestamp":1770048757000},"page":"72","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous Treatment of Type A Aortic Dissection Using Atrial Septal Defect Occlusion Device"],"prefix":"10.3390","volume":"13","author":[{"given":"Georgiana","family":"Pintea Bentea","sequence":"first","affiliation":[{"name":"Department of Cardiology, CHU Namur Sainte Elisabeth, 5000 Namur, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1487-6583","authenticated-orcid":false,"given":"Marielle","family":"Morissens","sequence":"additional","affiliation":[{"name":"Department of Cardiology, CHU Brugmann, 1020 Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre-Emmanuel","family":"Massart","sequence":"additional","affiliation":[{"name":"Department of Cardiology, CHU Namur Sainte Elisabeth, 5000 Namur, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6203-8229","authenticated-orcid":false,"given":"Jose","family":"Castro Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Cardiology, CHU Brugmann, 1020 Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1007\/s00270-020-02652-w","article-title":"Role of Endoluminal Techniques in the Management of Acute Type B Aortic Dissection and Intramural Haematoma","volume":"43","author":"Chavan","year":"2020","journal-title":"Cardiovasc. Interv. Radiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1016\/j.avsg.2011.11.035","article-title":"Endoluminal treatment of dissecting aortic arch aneurysm after surgical treatment of acute type A dissection","volume":"26","author":"Canaud","year":"2012","journal-title":"Ann. Vasc. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Mylonas, K.S., Zoupas, I., Tasoudis, P.T., Vitkos, E., Stavridis, G.T., and Avgerinos, D.V. (2023). Endovascular Treatment of Type A Aortic Dissection: A Systematic Review and Meta-Analysis Using Reconstructed Time-to-Event Data. J. Clin. Med., 12.","DOI":"10.3390\/jcm12227051"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Xiao, Y., Zhang, Y., Li, H., and Guo, Y. (2025). Research progress on endovascular treatment of Stanford Type A aortic dissection. Front. Cardiovasc. Med., 12.","DOI":"10.3389\/fcvm.2025.1641559"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","article-title":"ESC Committee for Practice Guidelines 2014 ESC Guidelines on the diagnosis treatment of aortic diseases: Document covering acute chronic aortic diseases of the thoracic abdominal aorta of the adult The Task Force for the Diagnosis Treatment of Aortic Diseases of the European Society of Cardiology (ESC)","volume":"35","author":"Erbel","year":"2014","journal-title":"Eur. Heart J."},{"key":"ref_6","first-page":"732","article-title":"False lumen intervention to promote remodelling and thrombosis-The FLIRT concept in aortic dissection","volume":"92","author":"Yuan","year":"2018","journal-title":"Catheter. Cardiovasc. Interv."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Shehab, M., Prendes, C.F., Wanhainen, A., Lindblom, R., James, S., and Mani, K. (Eur. J. Vasc. Endovasc. Surg., 2025). The Endo-Bentall Procedure in the Treatment of Ascending Aorta Pathologies: A Scoping Review, Eur. J. Vasc. Endovasc. 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Int."}],"container-title":["Journal of Cardiovascular Development and Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3425\/13\/2\/72\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T16:38:32Z","timestamp":1770050312000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3425\/13\/2\/72"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,2]]},"references-count":13,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["jcdd13020072"],"URL":"https:\/\/doi.org\/10.3390\/jcdd13020072","relation":{},"ISSN":["2308-3425"],"issn-type":[{"value":"2308-3425","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,2]]}}}