Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5597888 | Annals of Vascular Surgery | 2017 | 12 Pages |
Abstract
Management of visceral ischemia due to non-A, non-B dissection is extremely challenging due to the position of the primary entry tear at the level of the brachiocephalic vessels. We report on a patient who was admitted for a complicated non-A, non-B-type dissection with visceral and leg ischemia. A covered stent graft was implanted below the primary entry tear to redirect the flow in the true lumen, associated with stents implantation in the visceral arteries, to treat the dissection's static component. The patient did well, without need for bowel resection visceral or late stent restenosis. Stent-graft implantation below the primary entry tear in cases of visceral ischemia due to non-A, non-B dissection seems feasible.
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Authors
Raphael J. Soler, Michel A. Bartoli, Gaetan Simonet, Philippe Amabile, Gabrielle Sarlon-Bartoli, Pierre-Edouard Magnan,