Document Detail


Fenestration of an iatrogenic aortic dissection after endovascular aneurysm repair.
MedLine Citation:
PMID:  21521069     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract Purpose: To present a case of percutaneous fenestration of a type B aortic dissection after endovascular aneurysm repair (EVAR). Case Report: An 82-year-old patient with an earlier conventionally inserted aortobi-iliac prosthesis presented with a proximal anastomotic pseudoaneurysm, which was excluded successfully by EVAR. Standard follow-up computed tomographic angiography (CTA) 48 hours after the procedure, however, revealed a type B aortic dissection. Despite conservative antihypertensive therapy, the patient developed abdominal and back pain, and intervention was indicated. Endovascular balloon fenestration of the intimal flap was performed, resulting in relief of pain even though the false lumen remained patent. At 8 months after the procedure, the patient was symptom free, and CTA showed no progression of the persistent type B dissection. Conclusion: Percutaneous fenestration can be used as a therapy of first choice in patients with an acute aortic dissection post EVAR.
Authors:
Jip L Tolenaar; Jasper W van Keulen; Evert-Jan Vonken; Joost A van Herwaarden; Frans L Moll; Gert J de Borst
Related Documents :
20587219 - Dissecting aneurysm of the anterior cerebral artery presenting with thrombo-embolic com...
21321909 - Endovascular repair of abdominal aortic aneurysms and other arterial lesions.
10706029 - Traumatic basilar artery dissection in a child: need for anticoagulation?
10524739 - Diagnosis and treatment of concomitant aortic and coronary disease: a retrospective stu...
21463759 - Iliac branch graft in the treatment of complex aortoiliac aneurysms: early results from...
14992929 - Partial pericardial defect associated with ruptured aortic dissection of the ascending ...
21466959 - Trans-catheter valve-in-valve implantation: in vitro hydrodynamic performance of the sa...
17028929 - Kawasaki disease: role of coronary ct angiography.
14618199 - The assessment of mitral inflow propagation velocity in the diagnosis of advanced left ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  18     ISSN:  1545-1550     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-04-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  256-60     Citation Subset:  IM    
Affiliation:
1 Department of Vascular Surgery, University Medical Center Utrecht, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Inferior vena cava stent-graft placement to treat endoleak associated with an aortocaval fistula.
Next Document:  Cloning and functional analysis of the dpm2 and dpm3 genes from Trichoderma reesei expressed in a Sa...