title: [The role of percutaneous renal fenestration in the management of acute aortic dissection. Case report].
abstract: Aortic dissection is one of the most feared vascular disease, coursing with high rate of complications. Depending on the location of the intimal tear, aortic dissection could implicate the ascending aorta, the heart and descending aorta, or only the descending aorta. The first case (type A) has absolute surgical indication. Independently of a good surgical result, vascular complications may occur, such as arterial renal compression, associated with flow disturbances to these organs. Percutaneous fenestration has been proven as a good solution in selected patients, in experienced hands. We present a case in which the percutaneous technique was successfully used.
authors.affiliation: Centro de Cirurgia Cardiotorácica e Serviço de Imagem Médica do Centro Hospitalar e Universitário de Coimbra e Faculdade de Medicina de Coimbra, Portugal.
authors.forename: Carlos S
authors.initials: CS
authors.lastname: Pinto
authors.forename: Catarina
authors.initials: C
authors.lastname: Oliveira
authors.forename: Alfredo Gil
authors.initials: AG
authors.lastname: Agostinho
authors.forename: Filipe Caseiro
authors.initials: FC
authors.lastname: Alves
authors.forename: Manuel Jesus
authors.initials: MJ
authors.lastname: Antunes
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D006801:Humans; D008297:Male; D012077:Renal Artery / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods