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Folding procedure to diminish type 3 endoleakage after open stent graft surgery with TEVAR extension

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Abstract

We herein report a new procedure to prevent type 3 endoleakage (EL3) after open stent graft (OSG) surgery with thoracic endovascular aortic repair (TEVAR) extension. The OSG Dacron graft portion is reversed and folded inside the OSG stent graft portion intraoperatively, filling the crack between the OSG and TEVAR device. We applied this procedure in two patients with no postoperative complications. Our folding procedure may prevent EL3 after OSG surgery if TEVAR extension is needed in the future.

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Acknowledgements

We thank Angela Morben, DVM, ELS, from Edanz Group (http://www.edanzediting.com/ac), for editing a draft of this manuscript.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan

    Tatushi Onzuka, Kojiro Furukawa, Eiki Tayama & Shigeki Morita

  2. Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan

    Akira Shiose

Authors
  1. Tatushi Onzuka
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  2. Kojiro Furukawa
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  3. Eiki Tayama
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  4. Shigeki Morita
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  5. Akira Shiose
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Correspondence to Tatushi Onzuka.

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Conflict of interest

Tatushi Onzuka, Kojiro Furukawa, Eiki Tayama, Shigeki Morita, and Akira Shiose declare that no conflict of interest exists.

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Onzuka, T., Furukawa, K., Tayama, E. et al. Folding procedure to diminish type 3 endoleakage after open stent graft surgery with TEVAR extension. Gen Thorac Cardiovasc Surg 67, 999–1000 (2019). https://doi.org/10.1007/s11748-019-01115-5

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  • DOI: https://doi.org/10.1007/s11748-019-01115-5

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