Fenestration of the intima to facilitate successful endovascular repair of a dissecting abdominal aneurysm.
Rev Cardiovasc Med
; 22(4): 1547-1551, 2021 Dec 22.
Article
em En
| MEDLINE
| ID: mdl-34957794
ABSTRACT
Aortic aneurysm is an enlargement of the aorta with a loss of the arterial wall parallelism. There are several possible causes concerning etiology, one of which is the postsurgical presence of a patent distal false lumen. An aortic aneurysm is mainly seen after a surgery for type A aortic dissection and it represents an important late complication. Even more, in some cases the abdominal aortic aneurysm could be complicated by a patent distal false lumen, which makes it challenging for further treatment. We present a case of a 44-year-old male patient with Marfan syndrome and the history of a surgical repair of type A aortic dissection. He was diagnosed with a large abdominal aortic aneurysm and patent distal false lumen. In this report, we describe our technique and the outcome for endovascular fenestration of the persistent intimal flap and the stent-graft implantation for abdominal aortic aneurysm isolation after the surgery for aortic dissection type A. Our technique presents a novelty approach to patients with abdominal aortic aneurysm, complicated with a patent distal false lumen.
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Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aneurisma da Aorta Torácica
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Aneurisma da Aorta Abdominal
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Implante de Prótese Vascular
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Procedimentos Endovasculares
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Dissecção Aórtica
Limite:
Adult
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Humans
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Male
Idioma:
En
Revista:
Rev Cardiovasc Med
Assunto da revista:
ANGIOLOGIA
/
CARDIOLOGIA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Bulgária