Acute Type B Aortic Dissection One Month After Fenestrated EVAR Procedure
Introduction: Acute aortic dissection after endovascular repair of an aortic aneurysm is a rare but serious condition, with potential complications that can result in the death of the patient. Report: This is the case of a patient diagnosed with a type IV thoraco-abdominal aneurysm with involvement...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-01-01
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| Series: | EJVES Short Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405655319300325 |
| _version_ | 1811270654109941760 |
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| author | Elias Jose Rodriguez Czaplicki Cristina Martinez Mira Dina Magaly Anaya Sifuentes Jorge Aisa Aldama |
| author_facet | Elias Jose Rodriguez Czaplicki Cristina Martinez Mira Dina Magaly Anaya Sifuentes Jorge Aisa Aldama |
| author_sort | Elias Jose Rodriguez Czaplicki |
| collection | DOAJ |
| description | Introduction: Acute aortic dissection after endovascular repair of an aortic aneurysm is a rare but serious condition, with potential complications that can result in the death of the patient. Report: This is the case of a patient diagnosed with a type IV thoraco-abdominal aneurysm with involvement of both iliac arteries who underwent endovascular repair with a four fenestration device and a left iliac branch. One month after the procedure, the patient presented with a type B acute aortic dissection that extended from the left subclavian artery to the proximal stent of the fenestrated graft. This dissection was treated by thoracic endovascular aortic repair, and after a problematic post-operative period, the patient was discharged after 30 days. Discussion: Occurrence of an acute aortic dissection after endovascular repair of an aortic aneurysm has rarely been reported in the literature. Development of these dissections has been related to factors such as excessive oversizing, use of devices with active fixation systems, or injuries during the procedure, although it is believed that the late onset would indicate that it was a de novo dissection. The presence of an aortic dissection can lead to the collapse and occlusion of the previous endograft and even to aortic rupture, and mortality in reported cases reaches 30%. The authors suggest that endovascular treatment should be considered in these patients. Keywords: Aortic aneurysm, Fenestrated endovascular aneurysm repair, Thoracic endovascular aortic repair, Type B aortic dissection |
| first_indexed | 2024-04-12T22:06:00Z |
| format | Article |
| id | doaj.art-107d45b6e9904aceb7056703a9afd80c |
| institution | Directory Open Access Journal |
| issn | 2405-6553 |
| language | English |
| last_indexed | 2024-04-12T22:06:00Z |
| publishDate | 2019-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EJVES Short Reports |
| spelling | doaj.art-107d45b6e9904aceb7056703a9afd80c2022-12-22T03:14:56ZengElsevierEJVES Short Reports2405-65532019-01-01443843Acute Type B Aortic Dissection One Month After Fenestrated EVAR ProcedureElias Jose Rodriguez Czaplicki0Cristina Martinez Mira1Dina Magaly Anaya Sifuentes2Jorge Aisa Aldama3Corresponding author. Servicio de Angiologia y Cirugia Vascular, Hospital General Universitario de Elche, Camí de l'Almazara, 11, 03203, Elche, Spain.; Vascular Surgery Unit, General and University Hospital, Elche, SpainVascular Surgery Unit, General and University Hospital, Elche, SpainVascular Surgery Unit, General and University Hospital, Elche, SpainVascular Surgery Unit, General and University Hospital, Elche, SpainIntroduction: Acute aortic dissection after endovascular repair of an aortic aneurysm is a rare but serious condition, with potential complications that can result in the death of the patient. Report: This is the case of a patient diagnosed with a type IV thoraco-abdominal aneurysm with involvement of both iliac arteries who underwent endovascular repair with a four fenestration device and a left iliac branch. One month after the procedure, the patient presented with a type B acute aortic dissection that extended from the left subclavian artery to the proximal stent of the fenestrated graft. This dissection was treated by thoracic endovascular aortic repair, and after a problematic post-operative period, the patient was discharged after 30 days. Discussion: Occurrence of an acute aortic dissection after endovascular repair of an aortic aneurysm has rarely been reported in the literature. Development of these dissections has been related to factors such as excessive oversizing, use of devices with active fixation systems, or injuries during the procedure, although it is believed that the late onset would indicate that it was a de novo dissection. The presence of an aortic dissection can lead to the collapse and occlusion of the previous endograft and even to aortic rupture, and mortality in reported cases reaches 30%. The authors suggest that endovascular treatment should be considered in these patients. Keywords: Aortic aneurysm, Fenestrated endovascular aneurysm repair, Thoracic endovascular aortic repair, Type B aortic dissectionhttp://www.sciencedirect.com/science/article/pii/S2405655319300325 |
| spellingShingle | Elias Jose Rodriguez Czaplicki Cristina Martinez Mira Dina Magaly Anaya Sifuentes Jorge Aisa Aldama Acute Type B Aortic Dissection One Month After Fenestrated EVAR Procedure EJVES Short Reports |
| title | Acute Type B Aortic Dissection One Month After Fenestrated EVAR Procedure |
| title_full | Acute Type B Aortic Dissection One Month After Fenestrated EVAR Procedure |
| title_fullStr | Acute Type B Aortic Dissection One Month After Fenestrated EVAR Procedure |
| title_full_unstemmed | Acute Type B Aortic Dissection One Month After Fenestrated EVAR Procedure |
| title_short | Acute Type B Aortic Dissection One Month After Fenestrated EVAR Procedure |
| title_sort | acute type b aortic dissection one month after fenestrated evar procedure |
| url | http://www.sciencedirect.com/science/article/pii/S2405655319300325 |
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