Abstract
Introduction: Aneurysmal degeneration in patients with chronic type B dissection is common, occurring in 20% – 40% of cases, of which 10% – 20% develop late rupture. Open surgery for these cases is associated with high morbidity and mortality. Endovascular alternatives include fenestrated or branched endografts, although the use of these devices in these chronic dissection cases may be complex. Treatment usually involves implantation of a device in the true lumen with the objective of excluding the false lumen.
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