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Undersized Stent Grafts for Acute Mesenteric Ischemia in Chronic Type B Dissection
- Source :
- The Annals of thoracic surgery. 103(6)
- Publication Year :
- 2016
-
Abstract
- Acute ischemia in chronic type B dissections carries high rates of morbidity and mortality. A 29-year-old woman with a chronic type B dissection presented with acute abdominal pain. Imaging revealed a worsening dissection with pseudocoarctation causing near complete occlusion of the true lumen by the false lumen. We placed purposefully undersized stent grafts to treat acute mesenteric ischemia by improving true lumen flow. The patient was discharged on postoperative day 4 without adverse events. We suggest that endovascular rescue by placing undersized stent grafts can provide improved flow to the mesenteric vessels with continued false lumen flow to vital organs.
- Subjects :
- Pulmonary and Respiratory Medicine
Adult
medicine.medical_specialty
medicine.medical_treatment
False lumen
Lumen (anatomy)
030204 cardiovascular system & hematology
Acute ischemia
03 medical and health sciences
Blood Vessel Prosthesis Implantation
0302 clinical medicine
Acute mesenteric ischemia
Complete occlusion
medicine
Humans
030212 general & internal medicine
Aortic Aneurysm, Thoracic
business.industry
Endovascular Procedures
Stent
Type b dissection
Surgery
Blood Vessel Prosthesis
Dissection
Aortic Dissection
Mesenteric Ischemia
Chronic Disease
Female
Stents
Radiology
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15526259
- Volume :
- 103
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- The Annals of thoracic surgery
- Accession number :
- edsair.doi.dedup.....a7eb2c4306c4e55d6a0353712da61291