Cargando…

A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair

Thoracic endovascular stent grafting has been increasingly used in patients with type B aortic dissection (TBAD). We describe a patient with worsening abdominal pain and a rapidly enlarging common iliac artery aneurysm associated with TBAD. The patient underwent open aortoiliac replacement followed...

Descripción completa

Detalles Bibliográficos
Autores principales: Gusev, Maksim V., Leong, Beatriz V., Patel, Sheela T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699923/
https://www.ncbi.nlm.nih.gov/pubmed/36444208
http://dx.doi.org/10.1016/j.jvscit.2022.10.015
_version_ 1784839191189782528
author Gusev, Maksim V.
Leong, Beatriz V.
Patel, Sheela T.
author_facet Gusev, Maksim V.
Leong, Beatriz V.
Patel, Sheela T.
author_sort Gusev, Maksim V.
collection PubMed
description Thoracic endovascular stent grafting has been increasingly used in patients with type B aortic dissection (TBAD). We describe a patient with worsening abdominal pain and a rapidly enlarging common iliac artery aneurysm associated with TBAD. The patient underwent open aortoiliac replacement followed by thoracic stent grafting of the TBAD. Computed tomography imaging indicated positive remodeling of the aortic dissection at 3 years. Open abdominal aortic replacement before thoracic endovascular aortic repair may be a useful strategy in patients with TBAD with negative predictors of aneurysmal degeneration.
format Online
Article
Text
id pubmed-9699923
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-96999232022-11-27 A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair Gusev, Maksim V. Leong, Beatriz V. Patel, Sheela T. J Vasc Surg Cases Innov Tech Case report Thoracic endovascular stent grafting has been increasingly used in patients with type B aortic dissection (TBAD). We describe a patient with worsening abdominal pain and a rapidly enlarging common iliac artery aneurysm associated with TBAD. The patient underwent open aortoiliac replacement followed by thoracic stent grafting of the TBAD. Computed tomography imaging indicated positive remodeling of the aortic dissection at 3 years. Open abdominal aortic replacement before thoracic endovascular aortic repair may be a useful strategy in patients with TBAD with negative predictors of aneurysmal degeneration. Elsevier 2022-10-31 /pmc/articles/PMC9699923/ /pubmed/36444208 http://dx.doi.org/10.1016/j.jvscit.2022.10.015 Text en © 2022 The Author(s) https://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
Gusev, Maksim V.
Leong, Beatriz V.
Patel, Sheela T.
A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair
title A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair
title_full A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair
title_fullStr A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair
title_full_unstemmed A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair
title_short A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair
title_sort reversed strategy for treating type b aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699923/
https://www.ncbi.nlm.nih.gov/pubmed/36444208
http://dx.doi.org/10.1016/j.jvscit.2022.10.015
work_keys_str_mv AT gusevmaksimv areversedstrategyfortreatingtypebaorticdissectionwithopenaortoiliacreplacementpriortothoracicendovascularaorticrepair
AT leongbeatrizv areversedstrategyfortreatingtypebaorticdissectionwithopenaortoiliacreplacementpriortothoracicendovascularaorticrepair
AT patelsheelat areversedstrategyfortreatingtypebaorticdissectionwithopenaortoiliacreplacementpriortothoracicendovascularaorticrepair
AT gusevmaksimv reversedstrategyfortreatingtypebaorticdissectionwithopenaortoiliacreplacementpriortothoracicendovascularaorticrepair
AT leongbeatrizv reversedstrategyfortreatingtypebaorticdissectionwithopenaortoiliacreplacementpriortothoracicendovascularaorticrepair
AT patelsheelat reversedstrategyfortreatingtypebaorticdissectionwithopenaortoiliacreplacementpriortothoracicendovascularaorticrepair