Endovascular repair for abdominal aortic aneurysm followed by type B dissection. (October 2016)

• Record Type: Journal Article
• Authors: Shingaki, Masami; Kato, Masaaki; Motoki, Manabu; Kubo, Yoji; Isaji, Toshihiko; Okubo, Nobukazu
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 24:Number 8(2016)
• Page Start: 805
• Page End: 807
• Publication Date: 2016-10
• Subjects: Aged -- 80 and over -- Aneurysm -- dissecting -- Aortic aneurysm -- abdominal -- Blood vessel prosthesis implantation -- Endovascular procedures; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492316669644
• Languages: English
• ISSNs: 0218-4923

Abstract

An 86-year-old man with an abdominal aortic aneurysm was diagnosed with type B aortic dissection accompanied by a patent false lumen that started at the distal arch of the thoracic aorta and terminated at the left common iliac artery. Meticulous preoperative assessment detected 3 large intimal tears in the descending aorta, abdominal aortic aneurysm, and left common iliac artery. We performed single-stage thoracic and abdominal endovascular aneurysm repair and concomitant axillary-axillary bypass. The abdominal aortic aneurysm with type B aortic dissection was successfully treated using a single-stage endovascular stent graft, without any complications due to the careful preoperative examinations.