Why the study?
Management of DeBakey type III thoracoabdominal aortic dissection remains controversial due to individualized patient features, nonspecific presentations, and severe complications associated with disease progression.
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Staged endovascular treatment may be an effective and safe option for high-risk patients with chronic thoracoabdominal aortic dissection who are not candidates for open surgery.
Management of thoracoabdominal aortic dissection (DeBakey III type) is still a controversial subject because of the individual features each patient, nonspecific complains and symptoms, and severe complications associated with disease progression, such as aortic rupture, visceral malperfusion syndrome, retrograde dissection, refractory hypertension and pain. This article reports the clinical case of staged endovascular treatment of 78-year-old female with chronic thoracoabdominal aortic dissection (DeBakey type III) affected by uncontrollable hypertension. Endovascular treatment is proving to be an affective and safety tool for treatment this complex group of patients including nontolerant to open surgery.
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Чернова et al. (2019) studied this question.
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