Single-Stage Repair of a Complex Type B Aortic Dissection Associated With a Pressurized Infrarenal Abdominal Aortic Aneurysm

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• 作者：Mitul S. Patel ; Heitham T. Hassoun ; Mark G. Davies ; Alan B. Lumsden
• 刊名：Annals of Vascular Surgery
• 出版年：2013
• 出版时间：November, 2013
• 年：2013
• 卷：27
• 期：8
• 页码：1182.e9-1182.e12
• 全文大小：607 K

文摘

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.