The Fabulous® stent system facilitates complete false lumen remodeling mainly with bare stent components in treating acute Stanford type B aortic dissection: a case report

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ID: 324337
2026
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Abstract
Abstract Background Stanford type B aortic dissection typically involves the distal part of the aorta, with covering the proximal tear being sufficient for treatment in the majority of these patients. The real challenge arises in cases with severely compressed true lumen, where implanting only the proximal stent-graft is insufficient to dilate the visceral segment of the aorta and the distal true lumen. Case summary A 58-year-old male patient was admitted to our center due to acute type B aortic dissection for 3 days. Contrast-enhanced computed tomography angiography revealed the dissection had continuously extended downward to the right iliac artery, and the true lumen of the distal aorta was compressed close to occlusion at the visceral arteries level. The Fabulous® stent system was applied in this case, with a covered stent sealling the proximal entry, and two self-expanding, anti-compression bare stents expanding the true lumen. Postoperative CTA showed satisfactory aortic remodeling, with the true lumen fully opening and the fulse lumen completely disappearing. Discussion This integrally designed stent system of combining self-expanding, anti-compression bare stent with covered stent graft effectively addresses the issue of acute type B aortic dissection with severely compressed true lumen of visceral aortic segment. By utilizing modularized bare stents with appropriate mesh diameter to expand the distal aorta, it sufficiently promotes the aortic remodeling. At the same time, the stent system provides adequate branch arterial blood, effectively reducing the risk of severe complications such as paraplegia and renal failure.
Reference Key
openalex_W7201982661 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Shouji Qiu, Weiguo Fu, Lixin Wang
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag575
URL
https://doi.org/10.1093/ehjcr/ytag575
Keywords Keywords not found

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