Key result
Endovascular fenestration and endarterectomy successfully restored renal and limb perfusion in a 43-year-old man with acute type B aortic dissection complicated by malperfusion syndrome.
Case Report (n=1)
Endovascular techniques such as fenestration and stenting can be successfully employed to manage malperfusion syndrome in acute type B aortic dissection.
May be considered in select malperfusion cases; leaves open generalizability and need for prospective trials.
Cardiovascular disease is the leading cause of death worldwide. Acute aortic syndromes, which include aortic dissection, intramural hematoma, and penetrating aortic ulcer, represent the most morbid presentations of aortic disease and can be difficult to diagnose. Recent advances in imaging have allowed for more rapid and accurate diagnosis of acute aortic syndromes and the options for management are expanding. This case report and review presents the case of a 43-year-old man with acute type B aortic dissection who underwent two endovascular procedures for malperfusion syndrome. The review focuses on the presentation, diagnosis, medical management, and procedural options for acute dissection of the descending aorta.
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Bergmark et al. (2013) conducted a case report in Acute type B aortic dissection (n=1). Endovascular fenestration and endarterectomy with stenting was evaluated on Clinical outcome (restoration of perfusion and survival). Endovascular fenestration and endarterectomy successfully restored renal and limb perfusion in a 43-year-old man with acute type B aortic dissection complicated by malperfusion syndrome.
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