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©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2021; 9(1): 183-189
Published online Jan 6, 2021. doi: 10.12998/wjcc.v9.i1.183
Published online Jan 6, 2021. doi: 10.12998/wjcc.v9.i1.183
Treatment of Stanford type A aortic dissection with triple pre-fenestration, reduced diameter, and three-dimensional-printing techniques: A case report
Ming Zhang, Yuan-Hao Tong, Chen Liu, Xiao-Qiang Li, Chang-Jian Liu, Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu Province, China
Zhao Liu, Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 21008, Jiangsu Province, China
Author contributions: Zhang M and Tong YH contributed equally to this work; Li XQ, Liu CJ, and Liu Z designed the research study; Zhang L, Liu C, and Liu Z performed the research; Tong YH analyzed the data and wrote the manuscript; All authors have read and approve the final manuscript.
Supported by Jiangsu Provincial Medical Youth Talent Foundation , No. QXRC201621 ; Outstanding Youth Project supported by Nanjing Medical Science and Technology Development Foundation , No. JQX17003 ; and Social Development Program of Jiangsu Province , No. BE2019604 .
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, Doctor, Professor, Surgeon, Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, No. 321 Zhongshan Road, Nanjing 21008, Jiangsu Province, China. liuzhao83@gmail.com
Received: May 27, 2020
Peer-review started: May 27, 2020
First decision: September 13, 2020
Revised: September 30, 2020
Accepted: November 12, 2020
Article in press: November 12, 2020
Published online: January 6, 2021
Peer-review started: May 27, 2020
First decision: September 13, 2020
Revised: September 30, 2020
Accepted: November 12, 2020
Article in press: November 12, 2020
Published online: January 6, 2021
Core Tip
Core Tip: In this work, we report a treatment of Stanford type A aortic dissection by triple pre-fenestration, reducing diameter, and three-dimensional-printing technique. We performed a well-designed total endovascular repair in a patient in which the dissection involved three branches of aortic arch and the ascending aorta. Moreover, we discussed the advantage of three-dimensional-printing technique to guide the application of modified triple pre-fenestrated stent-graft to treat Stanford type A aortic dissection. Temporarily reducing stent diameter was also vital for success of the operation.