Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2020; 8(5): 954-962
Published online Mar 6, 2020. doi: 10.12998/wjcc.v8.i5.954
Total endovascular repair of an intraoperative stent-graft deployed in the false lumen of Stanford type A aortic dissection: A case report
Xu-Ran Li, Yuan-Hao Tong, Xiao-Qiang Li, Chang-Jian Liu, Chen Liu, Zhao Liu
Xu-Ran Li, Yuan-Hao Tong, Xiao-Qiang Li, Chang-Jian Liu, Chen Liu, Zhao Liu, Department of Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu Province, China
Author contributions: Li XR and Tong YH wrote the paper; Liu Z and Liu C contributed equally to this work; Liu Z and Liu C designed the study; Li XQ, Liu CJ performed the operations.
Supported by National Natural Science Foundation of China, No. 81600375.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Zhao Liu, MD, PhD,Associate Chief Physician, Department of Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, No. 321 Zhongshan Road, Nanjing 210008, Jiangsu Province, China. liuzhao83@hotmail.com
Received: November 3, 2019
Peer-review started: November 3, 2019
First decision: December 4, 2019
Revised: January 14, 2020
Accepted: February 15, 2020
Article in press: February 15, 2020
Published online: March 6, 2020
Processing time: 123 Days and 23 Hours
Core Tip

Core tip: In this work, we report an extremely rare case of repair for intraoperative stent-graft deployed in the false lumen of Stanford type A aortic dissection. This is very rare because the patient survived this catastrophic thoracic surgery for 2 years. We performed a well-designed total endovascular repair to draw blood back to the true lumen. Our report presents a new solution for incorrect stent-graft implantation. Other departments may be inspired by this case when they need to rescue an incorrect stent implantation. Moreover, we discuss regular rescue methods and preventive measures used for stent implantation of the false lumen.