Key result
Percutaneous endovascular aortic stenting successfully treated a case of chronic Stanford type B aortic dissection complicated with visceral and limb ischemia and marked renovascular hypertension.
Case Report (n=1)
Percutaneous endovascular aortic stenting can be a successful, less invasive alternative for managing chronic Stanford type B aortic dissection complicated by visceral and limb ischemia and renovascular hypertension.
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May support endovascular stenting feasibility in select chronic type B dissections with ischemia; single case leaves open need for prospective validation.
Aortic dissection complicated with limb and visceral ischemia is a clinical dilemma since surgical intervention carries high risk of morbidity and mortality. The management is further complicated when renal perfusion is impaired and thus associated with severe renovascular hypertension. As catheterization techniques advanced over the past decade, percutaneous endovascular intervention provides a less invasive alternative for management of such cases. We report a case of chronic Stanford type B aortic dissection complicated with visceral and limb ischemia presenting with marked renovascular hypertension, which was successfully treated with percutaneous endovascular aortic stenting.
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Chang et al. (2001) conducted a case report in Chronic Stanford type B aortic dissection complicated with visceral and limb ischemia and renovascular hypertension (n=1). Percutaneous endovascular aortic stenting was evaluated on Successful treatment. Percutaneous endovascular aortic stenting successfully treated a case of chronic Stanford type B aortic dissection complicated with visceral and limb ischemia and marked renovascular hypertension.
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