Emergency endovascular treatment for ruptured type B dissection in the abdominal aorta.
Despite successful endograft placement in the thoracic aorta, dissections remain problematic in the abdominal aorta. Herein, the authors describe two successful cases of endovascular treatment of ruptured abdominal aortic dissections. One patient, despite previously undergoing successful thoracic endograft placement, presented with a ruptured false channel and was treated by excluding major re-entries with a covered renal stent and stent-graft limb. A second patient, with a ruptured dissection superimposed on a preexisting abdominal aortic aneurysm, was treated with thoracic and abdominal stent-grafts. In both patients, progressive healing of the aorta occurred, with patients presenting no symptoms at an average follow-up of 20 months.
Wojtaszek
Mikolaj
M
2nd Department of Clinical Radiology, Medical University of Warsaw, Banacha 1a St, 02-097 Warsaw, Poland. nwojtaszek@gmail.com
Milczarek
Krzysztof
K
Szmidt
Jacek
J
Rowinski
Olgierd
O
D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis* / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004632:Emergency Medical Services / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D012421:Rupture / Q000175:diagnosis / Q000601:surgery; D015607:Stents; D016896:Treatment Outcome