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CC BY 4.0 · Aorta (Stamford) 2013; 01(03): 206-209
DOI: 10.12945/j.aorta.2013.13-009
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Emergency Thoracic Endovascular Aneurysm Repair in Acute Type B Dissection with Visceral Malperfusion

Giuseppe Petrilli
1   Division of Cardiac Surgery, University of Verona, Verona, Italy
,
Giovanni Puppini
2   Department of Radiology, University of Verona, Verona, Italy
,
Daniele Calzaferri
1   Division of Cardiac Surgery, University of Verona, Verona, Italy
,
Salvo Torre
1   Division of Cardiac Surgery, University of Verona, Verona, Italy
,
Antonella Bugana
1   Division of Cardiac Surgery, University of Verona, Verona, Italy
,
Giuseppe Faggian
1   Division of Cardiac Surgery, University of Verona, Verona, Italy
› Author Affiliations
Further Information

Publication History

13 February 2013

30 August 2013

Publication Date:
28 September 2018 (online)

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Abstract

A 46-year-old female patient was admitted to the emergency room with the sudden onset of abdominal pain, back pain, and paresthesia in the right leg. An emergent chest computed tomography (CT) showed an acute Type B aortic dissection. An emergency thoracic endovascular aneurysm repair (TEVAR) procedure was subsequently performed, for an evolving visceral malperfusion syndrome. We performed the procedure using an axillary approach because the small diameter of the true lumen precluded transfemoral endovascular access. This case illustrates that TEVAR permits the treatment of complicated acute Type B aortic dissection; specifically, technical variations can expand the applicability of endovascular procedures.

Key Words

Emergency TEVAR - Acute type B dissection - Visceral malperfusion
 

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