TEVAR is presented as a viable treatment option for Stanford type B aortic dissection complicated by visceral malperfusion.
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May support TEVAR in select type B dissections with visceral ischemia; leaves open need for prospective validation.
Organ ischemia owing to aortic dissection often requires emergency surgery for rapid restoration of blood flow into true lumen. We here present a case of 54 years old woman who was admitted to our hospital and underwent TEVAR. The pre-procedural course was complicated by visceral ischemia, which led to renal dysfunction, metabolic acidosis, and paralyzed intestinal obstruction. The case reported suggests that TEVAR is a viable treatment in the management of Standford type B Debakey III aortic dissection complicated with organ malperfusion.
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Cheng et al. (2018) studied this question.
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