Preceding Aortic Bare Stenting for Visceral and Limb Malperfusion before Proximal Surgical Repair of Stanford Type A Aortic Dissection

Mesenteric malperfusion is a fatal complication of acute aortic dissection, which should rapidly be repaired. However, the optimal treatment strategy remains controversial in patients with type A aortic dissection. We report on a case with aortic bare stenting for visceral and lower limb malperfusio...

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Detalles Bibliográficos
Autores principales: Kumagai, Kunitaka, Hiraoka, Arudo, Chikazawa, Genta, Yoshitaka, Hidenori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10288125/
https://www.ncbi.nlm.nih.gov/pubmed/37359094
http://dx.doi.org/10.3400/avd.cr.22-00075
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author Kumagai, Kunitaka
Hiraoka, Arudo
Chikazawa, Genta
Yoshitaka, Hidenori
author_facet Kumagai, Kunitaka
Hiraoka, Arudo
Chikazawa, Genta
Yoshitaka, Hidenori
author_sort Kumagai, Kunitaka
collection PubMed
description Mesenteric malperfusion is a fatal complication of acute aortic dissection, which should rapidly be repaired. However, the optimal treatment strategy remains controversial in patients with type A aortic dissection. We report on a case with aortic bare stenting for visceral and lower limb malperfusion prior to the proximal repair. The visceral and limb reperfusion was obtained after aortic bare stenting and proximal repair was successfully performed. This technique can be an alternative option for visceral malperfusion due to type A aortic dissection. However, careful patient selection is required considering the risk of new dissection and rupture.
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spelling pubmed-102881252023-06-25 Preceding Aortic Bare Stenting for Visceral and Limb Malperfusion before Proximal Surgical Repair of Stanford Type A Aortic Dissection Kumagai, Kunitaka Hiraoka, Arudo Chikazawa, Genta Yoshitaka, Hidenori Ann Vasc Dis Case Report Mesenteric malperfusion is a fatal complication of acute aortic dissection, which should rapidly be repaired. However, the optimal treatment strategy remains controversial in patients with type A aortic dissection. We report on a case with aortic bare stenting for visceral and lower limb malperfusion prior to the proximal repair. The visceral and limb reperfusion was obtained after aortic bare stenting and proximal repair was successfully performed. This technique can be an alternative option for visceral malperfusion due to type A aortic dissection. However, careful patient selection is required considering the risk of new dissection and rupture. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2023-06-25 /pmc/articles/PMC10288125/ /pubmed/37359094 http://dx.doi.org/10.3400/avd.cr.22-00075 Text en © 2023 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by-nc-sa/4.0/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Kumagai, Kunitaka
Hiraoka, Arudo
Chikazawa, Genta
Yoshitaka, Hidenori
Preceding Aortic Bare Stenting for Visceral and Limb Malperfusion before Proximal Surgical Repair of Stanford Type A Aortic Dissection
title Preceding Aortic Bare Stenting for Visceral and Limb Malperfusion before Proximal Surgical Repair of Stanford Type A Aortic Dissection
title_full Preceding Aortic Bare Stenting for Visceral and Limb Malperfusion before Proximal Surgical Repair of Stanford Type A Aortic Dissection
title_fullStr Preceding Aortic Bare Stenting for Visceral and Limb Malperfusion before Proximal Surgical Repair of Stanford Type A Aortic Dissection
title_full_unstemmed Preceding Aortic Bare Stenting for Visceral and Limb Malperfusion before Proximal Surgical Repair of Stanford Type A Aortic Dissection
title_short Preceding Aortic Bare Stenting for Visceral and Limb Malperfusion before Proximal Surgical Repair of Stanford Type A Aortic Dissection
title_sort preceding aortic bare stenting for visceral and limb malperfusion before proximal surgical repair of stanford type a aortic dissection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10288125/
https://www.ncbi.nlm.nih.gov/pubmed/37359094
http://dx.doi.org/10.3400/avd.cr.22-00075
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