Percutaneous bare Z-stent implantation as an alternative to surgery for acute aortic dissection with visceral ischemia.
We describe a case of Stanford type B acute aortic dissection causing visceral ischemia. An aortogram showed an hourglass-like narrowing of the true lumen at the diaphragm with a 60 mm Hg pressure gradient. Placement of a self-expanding metallic Z-stent under intravascular ultrasound guidance restored blood flow to the viscera.
Ito
Naoki
N
The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine, Tokyo, Japan. naoki@oha.toho-u.ac.jp
Tsunoda
Taro
T
Nakamura
Masato
M
Iijima
Raisuke
R
Matsuda
Ken-Ichi
K
Suzuki
Tomotake
T
Takagi
Takuro
T
Hirai
Hironori
H
Yamaguchi
Tetsu
T
D000208:Acute Disease; D000368:Aged; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D004210:Dissection; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D014781:Viscera / Q000098:blood supply* / Q000000981:diagnostic imaging