Endovascular repair can be a feasible and successful treatment option for severe Stanford type A thoracic aortic dissection in elderly patients.
Supports endovascular feasibility in select elderly type A dissections; hypothesis-generating case report requiring prospective validation before practice change.
Woman, 84 years-old, with Stanford type A thoracic aortic dissection committing aortic arch and descending aorta. Proposed and accepted endovascular treatment according to the severity of the clinical picture. Common femoral artery dissection bilaterally was done. Aortography confirmed the exclusion of the false lumen and patency of the coronary ostia.
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Pontes et al. (2013) studied this question.
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