Interdisciplinary team approach for complicated type B aortic dissection with concomitant hematothorax by endovascular stent grafting and left side mini thoracotomy: a case report

• Main Authors: Vollroth Marcel, Seeburger Joerg, Kiefer Philipp, Hoebartner Michael, Bausback Yvonne, Garbade Jens, Lehmkuhl Lukas, Mohr Friedrich
• Format: Article
• Language: English
• Published: BMC 2012-10-01
• Series: Journal of Cardiothoracic Surgery
• Subjects: Aortic dissection type B; Endovascular stent grafting; Interventional treatment
• Online Access: http://www.cardiothoracicsurgery.org/content/7/1/111

<p>Abstract</p> <p>Due to high mortality rates in surgical treatment, total endovascular stent grafting has become a promising therapeutic option in patients with acute aortic dissection type B. In our case, a 76- year- old patient with acute ruptured aortic dissection type B and hematothorax achieved concomitant total endovascular stent grafting and left side mini thoracotomy. With moderate neurologic impairment he was discharged from hospital after 20 days.</p> <p>This case shows that early mortality of live threatening acute aortic dissection type B with hemorrhagic pleural effusion may be reduced by total endovascular stent grafting and concomitant mini thoracotomy.</p>