Thorac Cardiovasc Surg 2006; 54(7): 500-501
DOI: 10.1055/s-2006-924097
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

Treatment of an Acute Type B Dissection with an Intramural Haematoma in the Ascending Aorta by Percutaneous Endovascular Stent-Graft Placement

D. Zimpfer1 , M. Czerny1 , J. Kettenbach2 , M. Schoder2 , E. Wolner1 , J. Lammer2 , M. Grimm1
  • 1Department of Cardiothoracic Surgery, University of Vienna Medical School, Vienna, Austria
  • 2Department of Interventional Radiology, University of Vienna Medical School, Vienna, Austria
Further Information

Publication History

Received March 1, 2006

Publication Date:
06 November 2006 (online)

Abstract

Acute type B dissections accompanied by an intramural haematoma in the ascending aorta are rare. However, progression of the intramural haematoma in the ascending aorta poses risks for the patients, which are similar to those of type A dissections, including pericardial effusions and consecutive tamponade. To date, no clear treatment guidelines exist for these patients. We report on successful percutaneous endovascular stent-graft treatment of an acute type B dissection accompanied by an intramural haematoma in the ascending aorta as primary and sole form of treatment.

References

Dr. Daniel Zimpfer

Department of Cardiothoracic Surgery
University of Vienna Medical School

Waehringer Guertel 18 - 20

1090 Vienna

Austria

Phone: +43 14 04 00 56 43

Fax: +43 14 04 00 56 42

Email: daniel.zimpfer@meduniwien.ac.at