Thoracic endovascular repair successfully restored true lumen flow and resolved distal malperfusion in two patients with complicated type B acute aortic dissection.
TEVAR may warrant consideration in select malperfusion cases; leaves open need for prospective trials before broader adoption.
Successful thoracic endovascular repair for complicated Stanford type B acute aortic dissection in two patients is herein reported. The true lumen flow was immediately restored following stent graft deployment in the descending thoracic aorta with subsequent resolution of the distal malperfusion syndrome. One patient is doing well more than 15 months after surgery and another patient who was treated more recently is also doing well 7 months postoperatively.
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Choo et al. (2011) studied this question.
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