Endovascular management for ruptured Stanford B acute aortic dissection.

Gen Thorac Cardiovasc Surg

Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557, Japan.

Published: February 2011

Surgery for a complicated Stanford B acute aortic dissection, such as rupture or malperfusion, is still a challenge. We undertook endovascular therapy for ruptured Stanford B acute aortic dissection in two patients. A homemade stent graft was deployed in an 84-year-old woman with a massive mediastinal hematoma; and an aortic extender of Excluder was used for a 76-year-old man with left hemothorax. Both patients recovered without major complications. Careful follow-up is mandatory. Endovascular therapy for a ruptured Stanford B acute aortic dissection seems feasible and efficient.

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Source
http://dx.doi.org/10.1007/s11748-010-0644-5DOI Listing

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