Endovascular repair for abdominal aortic aneurysm followed by type B dissection

An 86-year-old man with an abdominal aortic aneurysm was diagnosed with type B aortic dissection accompanied by a patent false lumen that started at the distal arch of the thoracic aorta and terminated at the left common iliac artery. Meticulous preoperative assessment detected 3 large intimal tears in the descending aorta, abdominal aortic aneurysm, and left common iliac artery. We performed single-stage thoracic and abdominal endovascular aneurysm repair and concomitant axillary-axillary bypass. The abdominal aortic aneurysm with type B aortic dissection was successfully treated using a single-stage endovascular stent graft, without any complications due to the careful preoperative examinations.

Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Shingaki, M., Kato, M., Motoki, M., Kubo, Y., Isaji, T., Okubo, N. Tags: Cardiac Source Type: research