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...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428722002052 |
| _version_ | 1797975828377632768 |
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| author | Maksim V. Gusev, MD Beatriz V. Leong, MD Sheela T. Patel, MD |
| author_facet | Maksim V. Gusev, MD Beatriz V. Leong, MD Sheela T. Patel, MD |
| author_sort | Maksim V. Gusev, MD |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-11T04:41:39Z |
| format | Article |
| id | doaj.art-c6739207a6ef426285e978c88310c223 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-11T04:41:39Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-c6739207a6ef426285e978c88310c2232022-12-28T04:19:03ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-12-0184781786A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repairMaksim V. Gusev, MD0Beatriz V. Leong, MD1Sheela T. Patel, MD2Division of Vascular Surgery, Loma Linda University Health, Loma Linda, CADivision of Vascular Surgery, Loma Linda University Health, Loma Linda, CACorrespondence: Sheela T. Patel, MD, Loma Linda University Health, Division of Vascular Surgery, 11175 Campus St, Ste 21123, Loma Linda, CA 92350; Division of Vascular Surgery, Loma Linda University Health, Loma Linda, CAThoracic 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.http://www.sciencedirect.com/science/article/pii/S2468428722002052Aortic dissectionThoracicEndovascular |
| spellingShingle | Maksim V. Gusev, MD Beatriz V. Leong, MD Sheela T. Patel, MD A reversed strategy for treating type B aortic dissection with open aortoiliac replacement prior to thoracic endovascular aortic repair Journal of Vascular Surgery Cases and Innovative Techniques Aortic dissection Thoracic Endovascular |
| 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 | Aortic dissection Thoracic Endovascular |
| url | http://www.sciencedirect.com/science/article/pii/S2468428722002052 |
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