Endovascular aortic repair of infrarenal abdominal aortic dissection.
We present two cases of infrarenal abdominal aortic dissection (IAAD) that were treated by endovascular aortic repair (EVAR). The EVAR procedure was successful, although one patient developed a proximal Type I endoleak several months after the procedure; both patients remain symptom-free more than 24 months after surgery. A literature search revealed that EVAR has been performed in only 14 cases of IAAD. Based on these 14 cases, we believe EVAR is feasible and effective for the treatment of IAAD. Moreover, this treatment strategy represents a reasonable alternative to open surgery, especially in cases of complicated juxtarenal abdominal aortic dissection.
Pei
Yifei
Y
Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Lu
Qingsheng
Q
Bao
Junmin
J
Zhao
Zhiqing
Z
Jing
Zaiping
Z
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications