title: Treatment of a chronic aneurysmal aortic dissection in a patient with Marfan syndrome using a staged hybrid procedure and a fenestrated endograft.
abstract: 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.
authors.affiliation: St Georges Vascular Institute, St Georges Hospital, London, UK. rwalkden@nhs.net
authors.forename: R Miles
authors.initials: RM
authors.lastname: Walkden
authors.forename: Rob A
authors.initials: RA
authors.lastname: Morgan
authors.forename: Ian
authors.initials: I
authors.lastname: Loftus
authors.forename: Matt
authors.initials: M
authors.lastname: Thompson
mesh_terms: 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