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December 31, 2019CureusOpen Access

Endovascular Approach to Severe Acute Type B Aortic Dissection

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Population

A 63-year-old male with acute abdominal thoracic aortic dissection

Design

Case report

Key result

Endovascular intervention with stent grafting successfully treated a severe acute type B aortic dissection in a 63-year-old male, resulting in preserved renal function at three years.

Authors

JRJoão Vítor Ternes RechCTCaique Martins Pereira de Moura TernesGJGustavo Busch Justino

Discussion

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Overview

May inform endovascular options in select AAD cases; hypothesis-generating and should not change practice without further evidence.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
A 63-year-old male with hypertension and a smoking history presenting with severe acute type B aortic dissection, treated with endovascular stenting and followed for three years.
I
Intervention
Endovascular correction with implantation of two straight Valiant type endoprostheses (26x200 mm and 38x200 mm), Viabahn stent graft (5x60 mm), and Assurant stent (7x30 mm) in the left renal artery.
O
Outcome
Clinical recovery, renal function preservation, and correct positioning of endoprosthesis at 3 years follow-up

Endovascular intervention for extensive type B aortic dissection resulted in successful clinical recovery and preserved renal function at 3-year follow-up.

Cite This Study

Rech et al. (2019) conducted a case report in Acute Type B Aortic Dissection (n=1). Endovascular stenting was evaluated on Clinical recovery and stent positioning. Endovascular intervention with stent grafting successfully treated a severe acute type B aortic dissection in a 63-year-old male, resulting in preserved renal function at three years.

synapsesocial.com/papers/6a9e8753f835b2283e3800a2https://doi.org/10.7759/cureus.6528
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Endovascular Repair of Type B Aortic Dissection2013 · 1,107 citations
  2. 2Update in the management of type B aortic dissection2016 · 102 citations
  3. 3The International Registry of Acute Aortic Dissection (IRAD)2000 · 3,660 citations