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Endovascular Aneurysm Repair With Re-entry Closure in a Patient With Abdominal Aortic Aneurysm Concomitant With Acute Type B Aortic Dissection

INTRODUCTION: Abdominal aortic aneurysm (AAA) concomitant with acute aortic dissection is rare. CASE REPORT: An acute type B aortic dissection involving AAA in a 58 year old woman is described. Computed tomography angiography demonstrated that the false lumen of the abdominal aorta including the ane...

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Autores principales: Otsuka, Ryo, Morikage, Noriyasu, Mizoguchi, Takahiro, Nagase, Takashi, Samura, Makoto, Harada, Takasuke, Suehiro, Kotaro, Hamano, Kimikazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287399/
https://www.ncbi.nlm.nih.gov/pubmed/33078147
http://dx.doi.org/10.1016/j.ejvsvf.2020.02.011
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author Otsuka, Ryo
Morikage, Noriyasu
Mizoguchi, Takahiro
Nagase, Takashi
Samura, Makoto
Harada, Takasuke
Suehiro, Kotaro
Hamano, Kimikazu
author_facet Otsuka, Ryo
Morikage, Noriyasu
Mizoguchi, Takahiro
Nagase, Takashi
Samura, Makoto
Harada, Takasuke
Suehiro, Kotaro
Hamano, Kimikazu
author_sort Otsuka, Ryo
collection PubMed
description INTRODUCTION: Abdominal aortic aneurysm (AAA) concomitant with acute aortic dissection is rare. CASE REPORT: An acute type B aortic dissection involving AAA in a 58 year old woman is described. Computed tomography angiography demonstrated that the false lumen of the abdominal aorta including the aneurysm remained patent, secondary to entry sites in the abdominal aorta, bilateral external iliac arteries, and a membrane tear of the left renal artery (LRA). The aneurysm was isolated by endovascular aneurysm repair and LRA stenting; all entry sites were occluded by endovascular treatment that included covered stenting of the LRA. Imaging performed three months after the procedure confirmed complete thrombosis of the false lumen and AAA sac shrinkage. DISCUSSION: Endovascular treatment with covered stents is reported as an alternative strategy for treatment of AAA concomitant with acute aortic dissection involving a visceral artery.
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spelling pubmed-72873992020-06-12 Endovascular Aneurysm Repair With Re-entry Closure in a Patient With Abdominal Aortic Aneurysm Concomitant With Acute Type B Aortic Dissection Otsuka, Ryo Morikage, Noriyasu Mizoguchi, Takahiro Nagase, Takashi Samura, Makoto Harada, Takasuke Suehiro, Kotaro Hamano, Kimikazu EJVES Vasc Forum Case Report INTRODUCTION: Abdominal aortic aneurysm (AAA) concomitant with acute aortic dissection is rare. CASE REPORT: An acute type B aortic dissection involving AAA in a 58 year old woman is described. Computed tomography angiography demonstrated that the false lumen of the abdominal aorta including the aneurysm remained patent, secondary to entry sites in the abdominal aorta, bilateral external iliac arteries, and a membrane tear of the left renal artery (LRA). The aneurysm was isolated by endovascular aneurysm repair and LRA stenting; all entry sites were occluded by endovascular treatment that included covered stenting of the LRA. Imaging performed three months after the procedure confirmed complete thrombosis of the false lumen and AAA sac shrinkage. DISCUSSION: Endovascular treatment with covered stents is reported as an alternative strategy for treatment of AAA concomitant with acute aortic dissection involving a visceral artery. Elsevier 2020-03-09 /pmc/articles/PMC7287399/ /pubmed/33078147 http://dx.doi.org/10.1016/j.ejvsvf.2020.02.011 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Otsuka, Ryo
Morikage, Noriyasu
Mizoguchi, Takahiro
Nagase, Takashi
Samura, Makoto
Harada, Takasuke
Suehiro, Kotaro
Hamano, Kimikazu
Endovascular Aneurysm Repair With Re-entry Closure in a Patient With Abdominal Aortic Aneurysm Concomitant With Acute Type B Aortic Dissection
title Endovascular Aneurysm Repair With Re-entry Closure in a Patient With Abdominal Aortic Aneurysm Concomitant With Acute Type B Aortic Dissection
title_full Endovascular Aneurysm Repair With Re-entry Closure in a Patient With Abdominal Aortic Aneurysm Concomitant With Acute Type B Aortic Dissection
title_fullStr Endovascular Aneurysm Repair With Re-entry Closure in a Patient With Abdominal Aortic Aneurysm Concomitant With Acute Type B Aortic Dissection
title_full_unstemmed Endovascular Aneurysm Repair With Re-entry Closure in a Patient With Abdominal Aortic Aneurysm Concomitant With Acute Type B Aortic Dissection
title_short Endovascular Aneurysm Repair With Re-entry Closure in a Patient With Abdominal Aortic Aneurysm Concomitant With Acute Type B Aortic Dissection
title_sort endovascular aneurysm repair with re-entry closure in a patient with abdominal aortic aneurysm concomitant with acute type b aortic dissection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287399/
https://www.ncbi.nlm.nih.gov/pubmed/33078147
http://dx.doi.org/10.1016/j.ejvsvf.2020.02.011
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