Endovascular scissoring in the management of complicated acute aortic dissection involving the infradiaphragmatic aorta

Endovascular scissoring in the management of complicated acute aortic dissection involving the infradiaphragmatic aorta

Complicated infrarenal aortic dissection conveys higher morbidity and mortality than proximal dissection. Septum maturation has a significant impact on false lumen modulation. We present two cases of infrarenal aortic aneurysm occurrence after acute dissection. Both cases had a DISSECT score of Sa,...

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Bibliographic Details
Main Authors: Sherif Sultan, MD, FRCS, EBQS-VASC, FACS, PhD, Mohamed Elsherif, MRCS, Wael Tawfick, MRCS, Niamh Hynes, MRCS, MD
Format: Article
Language:English
Published: Elsevier 2018-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428718300984
Description
Summary:Complicated infrarenal aortic dissection conveys higher morbidity and mortality than proximal dissection. Septum maturation has a significant impact on false lumen modulation. We present two cases of infrarenal aortic aneurysm occurrence after acute dissection. Both cases had a DISSECT score of Sa, Ab, Di, C, PT Ab. Both were managed medically for 14 days, followed by endovascular scissoring, creating a fenestration window that was enhanced with stenting. Keywords: Endovascular scissoring, Aortic dissection, Infradiaphragmatic
ISSN:2468-4287

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