title: Percutaneous bare Z-stent implantation as an alternative to surgery for acute aortic dissection with visceral ischemia.
abstract: 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.
authors.affiliation: The Third Department of Internal Medicine, Ohashi Hospital, Toho University School of Medicine, Tokyo, Japan. naoki@oha.toho-u.ac.jp
authors.forename: Naoki
authors.initials: N
authors.lastname: Ito
authors.forename: Taro
authors.initials: T
authors.lastname: Tsunoda
authors.forename: Masato
authors.initials: M
authors.lastname: Nakamura
authors.forename: Raisuke
authors.initials: R
authors.lastname: Iijima
authors.forename: Ken-Ichi
authors.initials: K
authors.lastname: Matsuda
authors.forename: Tomotake
authors.initials: T
authors.lastname: Suzuki
authors.forename: Takuro
authors.initials: T
authors.lastname: Takagi
authors.forename: Hironori
authors.initials: H
authors.lastname: Hirai
authors.forename: Tetsu
authors.initials: T
authors.lastname: Yamaguchi
mesh_terms: 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