title: Endovascular stent-graft repair of aortic dissection.
abstract: Between October 2000 and January 2002, 9 consecutive male patients with subacute or chronic aortic dissection underwent stent-graft placement. The indication for surgery was continuous pain or aneurysm development. One patient had a type A dissecting aortic aneurysm with a primary tear in the ascending thoracic aorta; the other 8 had type B dissection. Placement of an endovascular stent-graft was technically successful in 8 patients, and one underwent an open procedure for abdominal aortic fenestration. The entry site was sealed and the false lumen disappeared in 8 cases, and thrombosis of the false lumen was obtained. Rupture of an iliac artery dissecting aneurysm occurred in one patient 2 days after stent-graft placement; abdominal aortic fenestration with prosthetic replacement of the distal abdominal aorta was performed. One patient died of myocardial infarction 3 days after the stent-graft procedure. During a mean follow-up period of 7 months (1-16 months), one patient died of acute myocardial infarction at 11 months. It was concluded on the basis of these short-term results that endovascular repair of aortic dissection is a promising treatment, and abdominal aortic fenestration is a useful adjuvant procedure.
authors.affiliation: Department of Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China. lix2@21cn.com
authors.forename: Xiao-Xi
authors.initials: XX
authors.lastname: Li
authors.forename: Sheng-Ming
authors.initials: SM
authors.lastname: Wang
authors.forename: Wei
authors.initials: W
authors.lastname: Chen
authors.forename: Wen-Quan
authors.initials: WQ
authors.lastname: Zhuang
authors.forename: Zhuan-Hong
authors.initials: ZH
authors.lastname: Wu
authors.forename: Guang-Qi
authors.initials: GQ
authors.lastname: Chang
authors.forename: Song-Qi
authors.initials: SQ
authors.lastname: Li
authors.forename: Jian-Yong
authors.initials: JY
authors.lastname: Yang
authors.forename: Yong-Jie
authors.initials: YJ
authors.lastname: Lin
mesh_terms: D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000209:etiology / Q000401:mortality / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002681:China; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D015607:Stents; D016019:Survival Analysis; D016896:Treatment Outcome