title: Bifurcated endovascular graft for spontaneous acute aortic dissections: report of a case using a simple technique to help safe deployment.
abstract: This paper presents the description of the author's experience with bifurcated endovascular stent graft in a patient affected by spontaneous infrarenal acute aortic dissection (SIAAD). The authors report a case of SIAAD occurring in the normal aorta of a patient who presented with severe lower back pain radiated to the abdomen, not responding to common pain-killers. A complete exclusion of the dissected aorta was accomplished with a bifurcated endovascular graft using a simple technique. SIAAD is a rare event. Endovascular therapy is a safe option and can be considered the treatment of choice even for dissection extending into one or both iliac.
authors.affiliation: IRCCS San Donato Policlinic, San Donato Milanese, Milan, Italy. vatolva@yahoo.it
authors.forename: V S
authors.initials: VS
authors.lastname: Tolva
authors.forename: G B
authors.initials: GB
authors.lastname: Bertoni
authors.forename: S
authors.initials: S
authors.lastname: Trimarchi
authors.forename: V
authors.initials: V
authors.lastname: Grassi
authors.forename: V
authors.initials: V
authors.lastname: Rampoldi
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012077:Renal Artery; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods