Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the Thoracoabdominal Aorta: Endovascular Extension with Two Stent Grafts and Scarce Distal Landing

Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the Thoracoabdominal Aorta: Endovascular Extension with Two Stent Grafts and Scarce Distal Landing

Secondary dissection in the descending aorta after endovascular therapy may demand subsequent interventional procedures. This can set a particularly significant challenge for the endovascular specialist. When implanting an aortic prosthesis, a sufficient contact between the covered segment and the h...

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Main Authors: Peter I. Kalmar, Peter Oberwalder, Peter Schedlbauer, Jürgen Steiner, Rupert H. Portugaller
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/714914
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spelling doaj-899a7aee0db941e9a92e702d2dd205042020-11-24T20:59:13ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/714914714914Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the Thoracoabdominal Aorta: Endovascular Extension with Two Stent Grafts and Scarce Distal LandingPeter I. Kalmar0Peter Oberwalder1Peter Schedlbauer2Jürgen Steiner3Rupert H. Portugaller4Department of Radiology, Medical University of Graz, Auenbruggerplatz 9a, 8036 Graz, AustriaDepartment of Surgery, Medical University of Graz, Auenbruggerplatz 9a, 8036 Graz, AustriaDepartment of Radiology, Medical University of Graz, Auenbruggerplatz 9a, 8036 Graz, AustriaDepartment of Radiology, Medical University of Graz, Auenbruggerplatz 9a, 8036 Graz, AustriaDepartment of Radiology, Medical University of Graz, Auenbruggerplatz 9a, 8036 Graz, AustriaSecondary dissection in the descending aorta after endovascular therapy may demand subsequent interventional procedures. This can set a particularly significant challenge for the endovascular specialist. When implanting an aortic prosthesis, a sufficient contact between the covered segment and the healthy vessel wall is advisable. However, our case shows that, in individual cases, it is indeed efficient to place an aortic stent graft on top of the distal end of the dissection. This is proven by a three-year follow-up CT-angiography.http://dx.doi.org/10.1155/2013/714914
collection DOAJ
language English
format Article
sources DOAJ
author Peter I. Kalmar
Peter Oberwalder
Peter Schedlbauer
Jürgen Steiner
Rupert H. Portugaller
spellingShingle Peter I. Kalmar
Peter Oberwalder
Peter Schedlbauer
Jürgen Steiner
Rupert H. Portugaller
Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the Thoracoabdominal Aorta: Endovascular Extension with Two Stent Grafts and Scarce Distal Landing
Case Reports in Medicine
author_facet Peter I. Kalmar
Peter Oberwalder
Peter Schedlbauer
Jürgen Steiner
Rupert H. Portugaller
author_sort Peter I. Kalmar
title Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the Thoracoabdominal Aorta: Endovascular Extension with Two Stent Grafts and Scarce Distal Landing
title_short Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the Thoracoabdominal Aorta: Endovascular Extension with Two Stent Grafts and Scarce Distal Landing
title_full Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the Thoracoabdominal Aorta: Endovascular Extension with Two Stent Grafts and Scarce Distal Landing
title_fullStr Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the Thoracoabdominal Aorta: Endovascular Extension with Two Stent Grafts and Scarce Distal Landing
title_full_unstemmed Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the Thoracoabdominal Aorta: Endovascular Extension with Two Stent Grafts and Scarce Distal Landing
title_sort secondary aortic dissection after endoluminal treatment of an intramural hematoma of the thoracoabdominal aorta: endovascular extension with two stent grafts and scarce distal landing
publisher Hindawi Limited
series Case Reports in Medicine
issn 1687-9627
1687-9635
publishDate 2013-01-01
description Secondary dissection in the descending aorta after endovascular therapy may demand subsequent interventional procedures. This can set a particularly significant challenge for the endovascular specialist. When implanting an aortic prosthesis, a sufficient contact between the covered segment and the healthy vessel wall is advisable. However, our case shows that, in individual cases, it is indeed efficient to place an aortic stent graft on top of the distal end of the dissection. This is proven by a three-year follow-up CT-angiography.
url http://dx.doi.org/10.1155/2013/714914
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