Portal de Periódicos da CAPES

Endovascular Stent-Graft Repair of Aortic Dissection

2004; SAGE Publishing; Volume: 12; Issue: 2 Linguagem: Inglês

10.1177/021849230401200203

1816-5370

Xiaoxi Li, Shengming Wang, Wei Chen, Wenquan Zhuang, Zhuan-Hong Wu, Guangqi Chang, Songqi Li, Jianyong Yang, Yongjie Lin,

Infectious Aortic and Vascular Conditions

Between October 2000 and January 2002, 9 consecutive male patients with subacute or chronic aortic dissection underwent stent-graft placement. The indication for surgery was continuous pain or aneurysm development. One patient had a type A dissecting aortic aneurysm with a primary tear in the ascending thoracic aorta; the other 8 had type B dissection. Placement of an endovascular stent-graft was technically successful in 8 patients, and one underwent an open procedure for abdominal aortic fenestration. The entry site was sealed and the false lumen disappeared in 8 cases, and thrombosis of the false lumen was obtained. Rupture of an iliac artery dissecting aneurysm occurred in one patient 2 days after stent-graft placement; abdominal aortic fenestration with prosthetic replacement of the distal abdominal aorta was performed. One patient died of myocardial infarction 3 days after the stent-graft procedure. During a mean follow-up period of 7 months (1–16 months), one patient died of acute myocardial infarction at 11 months. It was concluded on the basis of these short-term results that endovascular repair of aortic dissection is a promising treatment, and abdominal aortic fenestration is a useful adjuvant procedure.