title: Stenting for acute aortic dissection with malperfusion as "bridge therapy".
abstract: The most common treatment of acute type A aortic dissection is immediate surgical repair. However, early surgery for acute dissections with peripheral vascular compromise carries a high mortality rate. Herein, we report a case in which we placed percutaneous endovascular stents in a type A dissection patient before proceeding with proximal aortic repair. Bare-metal stents were placed into the obliterated true channel of the abdominal aorta and the left external iliac artery. Endovascular stenting immediately relieved the lower-left-extremity ischemic symptoms, and the patient underwent hemi-arch replacement 7 days after the procedure. Stent placement for patients who have acute aortic dissection with malperfusion can be used as "bridge therapy."
authors.affiliation: Department of Thoracic & Cardiovascular Surgery, Hirosaki University School of Medicine, Hirosaki City, 036-8562 Aomori, Japan. wakakofujita@hotmail.com
authors.forename: Wakako
authors.initials: W
authors.lastname: Fujita
authors.forename: Satoshi
authors.initials: S
authors.lastname: Taniguchi
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Daitoku
authors.forename: Ikuo
authors.initials: I
authors.lastname: Fukuda
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply*; D008670:Metals; D011474:Prosthesis Design; D012039:Regional Blood Flow; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D008670:Metals