ArticleJournal of vascular surgery cases and innovative techniques2026
Thermal septotomy complications and management of residual septum visceral ostial occlusions.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A 61-year-old man with a previous total arch reconstruction with frozen elephant trunk presented with an expanding descending thoracic aortic aneurysm in the setting of a residual chronic type B aortic dissection. Thoracic endovascular aortic repair facilitated by thermal septotomy was complicated by left renal ostial occlusion from a dynamic postseptotomy dissection flap, manifesting as flank pain and elevated creatinine, both of which improved (creatinine decreased to 1.75 from 2.2 mg/dL) following revisional trans-septal left renal artery stenting. This case highlights that dynamic dissection flaps following septotomy may lead to visceral vessel ostial occlusion and can be successfully treated with trans-septal stenting.
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