Successful Operation for Type-B Aortic Dissection with Partial Involvement of Kommerell’s Diverticulum and Aortic Rupture: A Novel Double Short-Graft Method

نویسندگان

  • Ching-Ting Wei
  • Jiunn-Jye Sheu
  • Sheung-Fat Ko
  • Fan-Yen Lee
چکیده

Acute type-B aortic dissection is generally managed by administering medical treatment with an aim to achieve pain relief and hypertension control. Surgery is usually performed only in cases of type-B dissection complicated with limb ischemia, branch vessel compression or potential fatal aortic rupture. Herein, we report an extremely unusual case of type-B aortic dissection with partial involvement of coexistent Kommerell’s diverticulum and concurrent aortic rupture that was successfully treated by means of a novel double short-graft method.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Aortic Pseudo aneurysm 3 Years after Interposition Tube Graft for Acute Dissection of Ascending Aorta

Introduction: Patients with primary acute aortic dissection are at higher risk of complications, including increasing aortic aneurysm diameter, aortic rupture, aortic pseudo aneurysm, and recurrent aortic dissection. Case presentation We presented the case of a recurrent pseudo aneurysm and rupture of the aorta in the distal a...

متن کامل

Successful Repair of Type a Aortic Dissection in a Term Pregnancy: A Case Report

Stanford type A acute aortic dissection (AAD) is a very rare complication, with potentially lethal consequences in pregnancy. In fact, pregnancy has been regularly associated with the possibility of aortic. dissection in almost half of young women. Herein, we present the case of a 38-year-old woman in her 37th week of pregnancy. The patient’s medical history was indicative of G4L2Ab1(4 gestaiti...

متن کامل

Successful 36 Months Result of Debranching TEVAR for Kommerell’s Diverticulm with the Aberrant Left Subclavian Artery

A case of successful endovascular repair of right aortic arch with the aberrant left subclavian artery (ALSA) arising from Kommerell’s diverticulum (KD). Our strategy consisted of coil embolization for the orifice of the ALSA, put the bypass between left common carotid artery and left subclavian artery and exclusion of KD by stent graft insertion. Enhanced computed tomography scan 36 months aft...

متن کامل

Endovascular Treatment for Kommerell’s Diverticulum with a Right-Sided Aortic Arch

We report a rare case of type A dissection involving a right-sided aortic arch with an aberrant left subclavian artery originating from Kommerell's diverticulum in a 76-year-old woman. Endovascular treatment for Kommerell's diverticulum including intimal tear of the dissection was performed. At the 5-year follow-up, the patient was doing well, with no endoleak or dilatation of the Kommerell's d...

متن کامل

Successful management of a combined ruptured Stanford type B aortic dissection and malperfusion syndrome with an endoluminal graft.

Thoracic endografting has been recently approved in the USA for the treatment of thoracic aortic aneurysms. The application of endoluminal graft therapy to treat acute type B dissection has been shown to be effective but is still not considered standard of care. We describe the use of an endoluminal graft to treat a patient with an acute type B dissection associated with malperfusion and thorac...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2011