Placement of Endovascular Stent Graft in Acute Malperfusion Syndrome After Acute Type II Aortic Dissection

Medical therapy remains the standard of care in the treatment of acute type B aortic dissection, despite its considerable long term complications. Since thoracic endovascular aortic repair (TEVAR) was introduced as an alternative treatment option for patients with type B aortic dissection in 1999, the use of TEVAR has been increasing in acute type B aortic dissection. However, acute complicated type B aortic dissections with distal malperfusion are a catastrophic process in association with life-threatening ischemia of the viscera and extremities. We are reporting a clinically successful result from the TEVAR used for malperfusion syndrome that occurred by acute type B aortic dissection.