Key result
Endovascular scissoring, creating a fenestration window enhanced with stenting, was utilized to manage two cases of infrarenal aortic aneurysm following acute dissection.
Why the study?
Complicated infrarenal aortic dissection conveys higher morbidity and mortality than proximal dissection, and septum maturation impacts false lumen modulation.
Case Report (n=2)
Endovascular scissoring with stenting represents a potential interventional strategy for managing complicated infrarenal aortic dissection following initial medical therapy.
Case reports of endovascular scissoring leave open its role in infrarenal dissection; prospective validation required before clinical consideration.
Complicated infrarenal aortic dissection conveys higher morbidity and mortality than proximal dissection. Septum maturation has a significant impact on false lumen modulation. We present two cases of infrarenal aortic aneurysm occurrence after acute dissection. Both cases had a DISSECT score of Sa, Ab, Di, C, PT Ab. Both were managed medically for 14 days, followed by endovascular scissoring, creating a fenestration window that was enhanced with stenting.
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Sultan et al. (2018) conducted a case report in Complicated acute aortic dissection involving the infradiaphragmatic aorta (n=2). Endovascular scissoring was evaluated. Endovascular scissoring, creating a fenestration window enhanced with stenting, was utilized to manage two cases of infrarenal aortic aneurysm following acute dissection.
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