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

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.