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Hybrid surgery of a patient with B aortic dissection and renal ischemia
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Abstract
Aortic dissection is a serious, potentially lethal disease which is estimated to occur > 2000 new cases per year. The essence of the disease is the damage of aorta intima which results in separating of the aorta walls and leads to forming two blood flows: in a true and a false lumen. One of the treatment methods, apart from pharmacological one, is an endovascular stent-graft placement in order to maintain proper patency of aorta true lumen and protecting from increasing the diameter of aorta. One of the most common result of this kind of treatment is the thrombosis of false lumen. This method can implicate clinical complication occurring in approximately 14% patients. Abdominal organs ischemia, including kidneys, is one of the most significant problem. Surgical treatment with vascular grafts should be considered in cases when the proper organ perfusion depends on the false lumen patency.
Abstract
Aortic dissection is a serious, potentially lethal disease which is estimated to occur > 2000 new cases per year. The essence of the disease is the damage of aorta intima which results in separating of the aorta walls and leads to forming two blood flows: in a true and a false lumen. One of the treatment methods, apart from pharmacological one, is an endovascular stent-graft placement in order to maintain proper patency of aorta true lumen and protecting from increasing the diameter of aorta. One of the most common result of this kind of treatment is the thrombosis of false lumen. This method can implicate clinical complication occurring in approximately 14% patients. Abdominal organs ischemia, including kidneys, is one of the most significant problem. Surgical treatment with vascular grafts should be considered in cases when the proper organ perfusion depends on the false lumen patency.
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Keywords
aortic dissection, true lumen, false lumen, stent-graft placement, vascular graft, organ ischemia
About this articleTitle
Hybrid surgery of a patient with B aortic dissection and renal ischemia
Journal
Issue
Article type
Case report
Pages
162-166
Published online
2013-12-18
Page views
788
Article views/downloads
1082
DOI
10.5603/aa.36608
Bibliographic record
Acta Angiologica 2013;19(4):162-166.
Keywords
aortic dissection
true lumen
false lumen
stent-graft placement
vascular graft
organ ischemia
Authors
Magdalena Wyrzykowska
Olgierd Rowiński
Jacek Szmidt