Open aortic septectomy for complicated type B aortic dissection
Malperfusion is a complication of acute aortic dissection associated with substantially increased morbidity and mortality. Although endovascular treatment of the dissection with a stent graft to cover the intimal tear and reexpand the true lumen will often be sufficient to treat distal malperfusion, persistent or delayed malperfusion will necessitate additional interventions. Endovascular strategies to increase true lumen expansion include bare metal dissection stent placement and percutaneous fenestration. However, for patients with anatomy not amenable to an endovascular approach, alternative techniques are required. We describe two cases of complicated acute aortic dissection due to partial false lumen thrombosis treated with open aortic septectomy. Although an uncommon procedure, open septectomy can be useful for patients with malperfusion syndromes without appropriate endovascular options.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:9 |
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| Enthalten in: |
Journal of vascular surgery cases and innovative techniques - 9(2023), 1 vom: 17. März, Seite 101103 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lysak, Nicholas [VerfasserIn] |
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| Links: |
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| Themen: |
Aorta |
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| Anmerkungen: |
Date Revised 01.03.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.jvscit.2023.101103 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM353584053 |
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| 520 | |a Malperfusion is a complication of acute aortic dissection associated with substantially increased morbidity and mortality. Although endovascular treatment of the dissection with a stent graft to cover the intimal tear and reexpand the true lumen will often be sufficient to treat distal malperfusion, persistent or delayed malperfusion will necessitate additional interventions. Endovascular strategies to increase true lumen expansion include bare metal dissection stent placement and percutaneous fenestration. However, for patients with anatomy not amenable to an endovascular approach, alternative techniques are required. We describe two cases of complicated acute aortic dissection due to partial false lumen thrombosis treated with open aortic septectomy. Although an uncommon procedure, open septectomy can be useful for patients with malperfusion syndromes without appropriate endovascular options | ||
| 650 | 4 | |a Case Reports | |
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| 700 | 1 | |a Ho, Karen J |e verfasserin |4 aut | |
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