title: Placement of a branched stent graft into the false lumen of a chronic type B aortic dissection.
abstract: The treatment of chronic type B aortic dissections remains challenging and controversial. Currently most centers advocate open or endovascular intervention for patients with evidence of malperfusion, rupture or impending rupture, continued pain, or aneurysm formation. Regardless of the type of intervention, the incidence of complications or death remains high, even when undertaken in an elective setting. The standard endovascular treatment usually involves placement of a stent graft into the true lumen of the dissection in an effort to exclude the false lumen. This case report describes the placement of a branched stent graft into the false lumen of a patient with chronic type B dissection to encourage exclusion and thrombosis of the true lumen whilst maintaining flow to all visceral vessels.
authors.affiliation: Multi-Disciplinary Endovascular Team, University College London Hospital, London, United Kingdom. domsimring@hotmail.com
authors.forename: Dominic
authors.initials: D
authors.lastname: Simring
authors.forename: Jowad
authors.initials: J
authors.lastname: Raja
authors.forename: Luke
authors.initials: L
authors.lastname: Morgan-Rowe
authors.forename: Julian
authors.initials: J
authors.lastname: Hague
authors.forename: Peter L
authors.initials: PL
authors.lastname: Harris
authors.forename: Krassi
authors.initials: K
authors.lastname: Ivancev
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D015607:Stents