Emergent antegrade endovascular stent placement in a patient with perforated Stanford B dissection via right axillary artery.
We present a case of a ruptured chronic Stanford B dissection of the aorta which was successfully treated with a tapered endoprosthesis using the right axillary artery for access. Challenges to endovascular strategies for thoracic aortic pathology include relatively restricted endoprosthesis configurations and problems associated with endovascular access. Especially in younger patients the right axillary artery should be considered as a possible and safe access for antegrade stent placement.
Probst
Chris
C
Department of Cardiac Surgery, Heart Center Bonn, University of Bonn, Germany. chris.probst@ukb.uni-bonn.de
Esmailzadeh
Bahman
B
Schiller
Wolfgang
W
Wilhelm
Kai
K
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001366:Axillary Artery; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D015607:Stents; D014057:Tomography, X-Ray Computed