open access

Vol 19, No 4 (2013)
Case reports
Published online: 2013-12-18
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Hybrid surgery of a patient with B aortic dissection and renal ischemia

Magdalena Wyrzykowska, Olgierd Rowiński, Jacek Szmidt
Acta Angiologica 2013;19(4):162-166.

open access

Vol 19, No 4 (2013)
Case reports
Published online: 2013-12-18

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 article
Title

Hybrid surgery of a patient with B aortic dissection and renal ischemia

Journal

Acta Angiologica

Issue

Vol 19, No 4 (2013)

Pages

162-166

Published online

2013-12-18

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

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