Document Detail

Deployment of endograft in the ascending aorta to reverse type A aortic dissection.
MedLine Citation:
PMID:  12732497     Owner:  NLM     Status:  MEDLINE    
Current surgery to treat acute type A aortic dissection involving an intimal tear in the ascending aorta consists of resection and replacement, but mortality is high. We report the case of a 46-year-old female patient with Marfan syndrome who presented with excruciating retrosternal pain and breathing distress after a bowel movement with stress. Magnetic resonance imaging and multicolour sonography showed type A aortic dissection extending from the aortic root to the right iliac artery, with intimal tears in the ascending aorta above the sinotubular junction, the distal arch beyond the left subclavian artery and the isthmic region. We adapted the endoluminal stenting technique to this case of type A aortic dissection by sealing the intimal tears in the ascending aorta using endovascular introduction of one endoluminal graft, as confirmed on angiography. The patient was discharged after 10 days. Follow-up examination by computed tomography after more than 1 year revealed no sign of dissection at any level of the aorta.
Zhong Gao Wang; Carlo G Massimo; Ming Li; Song Ling Pan; Hong Kun Zhang; Wei Jing; Hai Ge Zhao; Xu Dong Chen; Hong Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Asian journal of surgery / Asian Surgical Association     Volume:  26     ISSN:  1015-9584     ISO Abbreviation:  Asian J Surg     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-05-06     Completed Date:  2003-05-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8900600     Medline TA:  Asian J Surg     Country:  China    
Other Details:
Languages:  eng     Pagination:  117-9     Citation Subset:  IM    
Vascular Institute, First Affiliate Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
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MeSH Terms
Aneurysm, Dissecting / surgery*
Aortic Aneurysm / surgery*
Blood Vessel Prosthesis Implantation*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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