title: Endovascular repair for abdominal aortic aneurysm followed by type B dissection.
abstract: An 86-year-old man with an abdominal aortic aneurysm was diagnosed with type B aortic dissection accompanied by a patent false lumen that started at the distal arch of the thoracic aorta and terminated at the left common iliac artery. Meticulous preoperative assessment detected 3 large intimal tears in the descending aorta, abdominal aortic aneurysm, and left common iliac artery. We performed single-stage thoracic and abdominal endovascular aneurysm repair and concomitant axillary-axillary bypass. The abdominal aortic aneurysm with type B aortic dissection was successfully treated using a single-stage endovascular stent graft, without any complications due to the careful preoperative examinations.
authors.affiliation: Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan singaky@hotmail.com.
authors.forename: Masami
authors.initials: M
authors.lastname: Shingaki
authors.affiliation: Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan.
authors.forename: Masaaki
authors.initials: M
authors.lastname: Kato
authors.affiliation: Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan.
authors.forename: Manabu
authors.initials: M
authors.lastname: Motoki
authors.affiliation: Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan.
authors.forename: Yoji
authors.initials: Y
authors.lastname: Kubo
authors.affiliation: Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan.
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Isaji
authors.affiliation: Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan.
authors.forename: Nobukazu
authors.initials: N
authors.lastname: Okubo
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D015607:Stents; D016896:Treatment Outcome
keywords: 80 and over; Aged; Aneurysm; Aortic aneurysm; Blood vessel prosthesis implantation; Endovascular procedures; abdominal; dissecting