title: Endovascular management for ruptured Stanford B acute aortic dissection.
abstract: Surgery for a complicated Stanford B acute aortic dissection, such as rupture or malperfusion, is still a challenge. We undertook endovascular therapy for ruptured Stanford B acute aortic dissection in two patients. A homemade stent graft was deployed in an 84-year-old woman with a massive mediastinal hematoma; and an aortic extender of Excluder was used for a 76-year-old man with left hemothorax. Both patients recovered without major complications. Careful follow-up is mandatory. Endovascular therapy for a ruptured Stanford B acute aortic dissection seems feasible and efficient.
authors.affiliation: Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557, Japan. a-aoki@chp-kagawa.jp
authors.forename: Atsushi
authors.initials: A
authors.lastname: Aoki
authors.forename: Takanori
authors.initials: T
authors.lastname: Suezawa
authors.forename: Kenji
authors.initials: K
authors.lastname: Sangawa
authors.forename: Mamoru
authors.initials: M
authors.lastname: Tago
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006406:Hematoma / Q000209:etiology; D006491:Hemothorax / Q000209:etiology; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome