Distal Aortic Malperfusion Exacerbated by Antegrade Stent-Graft Placement During Hybrid Repair of Acute DeBakey Type I Aortic Dissection

Autor:	Reul, Ross M., Hong, Jonathan C., Coselli, Joseph S., Preventza, Ourania
Rok vydání:	2022
Předmět:	Aortic Dissection Blood Vessel Prosthesis Implantation Treatment Outcome Aortic Aneurysm Thoracic Endovascular Procedures Humans Aorta Thoracic Stents Case Reports Cardiology and Cardiovascular Medicine Aorta Blood Vessel Prosthesis
Zdroj:	Tex Heart Inst J
ISSN:	1526-6702 0730-2347
DOI:	10.14503/thij-21-7764
Popis:	We present the case of an acute DeBakey type I aortic dissection with malperfusion. The patient underwent valve resuspension, ascending aortic and partial arch replacement, debranching of the innominate artery, and placement of a small-diameter stent within the left common carotid artery, after which antegrade deployment of a stent-graft into the proximal descending thoracic aorta was performed to expand the true lumen. Distal malperfusion was exacerbated by the stent-graft's traversal into the false lumen, necessitating further endovascular repair to reestablish flow to the distal aorta. Mitigation before stent-graft placement (for example, inserting a wire within the true lumen under fluoroscopic guidance to ensure stent-graft placement in the true lumen) and prompt corrective procedures are paramount, given the grim consequences of prolonged distal ischemia.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7ec1d0fff6e4e5f882ee522f73f7c61d https://doi.org/10.14503/thij-21-7764 Zobrazit plný text záznamu