Single-stage repair of a complex type B aortic dissection associated with a pressurized infrarenal abdominal aortic aneurysm.

Abstract:

:The decision-making involved in managing type 2 aortic dissections remains challenging despite the advances in endovascular technology. We report a challenging case of a patient presenting with a type 2 aortic dissection and false lumen extension into an infrarenal abdominal aortic aneurysm (AAA). Severe back pain and hypertension were the patient's initial complaints, and dynamic magnetic resonance angiography revealed 1-way pulsatile flow into the AAA sac from the false lumen. This patient underwent endovascular repair with a thoracic and infrarenal aortic endograft, successfully excluding the false lumen and decompressing the infrarenal aneursymal sac. This is a unique presentation of total endovascular repair of a symptomatic type B aortic dissection with a pressurized infrarenal AAA sac from false lumen flow into the sac.

journal_name

Ann Vasc Surg

authors

Patel MS,Hassoun HT,Davies MG,Lumsden AB

doi

10.1016/j.avsg.2012.10.035

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

1182.e9-12

issue

8

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(13)00273-2

journal_volume

27

pub_type

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