Treatment of a chronic aneurysmal aortic dissection in a patient with Marfan syndrome using a staged hybrid procedure and a fenestrated endograft.
Patients with aneurysmal dissections involving both the thoracic and the abdominal aorta are particularly challenging to treat with endovascular techniques because of the natural communications at the level of the visceral arteries. We present the case of a patient with Marfan syndrome with an aneurysmal aortic dissection involving the thoracic and abdominal aorta who was treated by a combination of endografts, surgical bypass, and a fenestrated tube graft.
Walkden
R Miles
RM
St Georges Vascular Institute, St Georges Hospital, London, UK. rwalkden@nhs.net
Morgan
Rob A
RA
Loftus
Ian
I
Thompson
Matt
M
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000792:Angiography; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed