title: Repeat endovascular exclusion for distal tear after treatment of primary aortic dissection by endovascular exclusion.
abstract: An obese, hypertensive, 70-year-old man was found to have an extensive chronic Stanford type B aortic dissection. The dissection was treated by placement of a stent graft. One year later, he developed a small protrusion of the intimal flap at the distal end of the stent graft that gradually enlarged, until 4 years after the procedure, it had become disrupted, and angiography showed contrast medium entering the false lumen. A second stent graft was successfully placed, and imaging 2 years later indicated no recurrence of the tear, endoleak, or malperfusion of the aortic arch vessels.
authors.affiliation: Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, P.R. China.
authors.forename: Liangxi
authors.initials: L
authors.lastname: Yuan
authors.forename: Junmin
authors.initials: J
authors.lastname: Bao
authors.forename: Zhiqing
authors.initials: Z
authors.lastname: Zhao
authors.forename: Zaiping
authors.initials: Z
authors.lastname: Jing
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D002908:Chronic Disease; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D012086:Reoperation; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome