Endovascular rescue after inadvertent false lumen stent graft implantation

We report a case of a 58-year-old patient with a complicated type B aortic dissection who developed acute visceral malperfusion after placement of a thoracic aortic stent graft from the true to the false lumen. He underwent an urgent endovascular revision that involved septal fenestration and distal...

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Veröffentlicht in:	Journal of vascular surgery 2016-02, Vol.63 (2), p.518-522
Hauptverfasser:	Han, Sukgu M., MD, Gasper, Warren J., MD, Chuter, Timothy A.M., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - physiopathology Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - physiopathology Aortic Aneurysm, Thoracic - surgery Aortography - methods Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - instrumentation Endovascular Procedures - adverse effects Endovascular Procedures - instrumentation Humans Male Middle Aged Postoperative Complications - diagnostic imaging Postoperative Complications - physiopathology Postoperative Complications - surgery Regional Blood Flow Reoperation Stents Surgery Tomography, X-Ray Computed Treatment Outcome
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Beschreibung
Zusammenfassung:	We report a case of a 58-year-old patient with a complicated type B aortic dissection who developed acute visceral malperfusion after placement of a thoracic aortic stent graft from the true to the false lumen. He underwent an urgent endovascular revision that involved septal fenestration and distal extension of the stent graft into the true lumen.
ISSN:	0741-5214 1097-6809
DOI:	10.1016/j.jvs.2014.11.072