AI Article Synopsis

  • Aortic dissection treatment is complex and controversial, requiring personalized approaches due to serious complications and challenging diagnosis.
  • A case study describes a 61-year-old male smoker with poorly controlled hypertension who experienced a Stanford type B aortic dissection, initially treated with medication.
  • After drug treatment failed, endovascular techniques were successfully used to place a stent, showing promising survival rates after one year.

Article Abstract

Complex treatment of aortic dissection is still a controversial subject because of the severity of these cases and the need to treat on a case-by-case basis. Severity is related to the difficulty of diagnosis caused by nonspecific complaints and by the serious complications inherent to disease progression (aortic rupture, hypoperfusion syndrome, retrograde dissection, refractory hypertension or pain). This article reports the case of a 61-year-old male smoker with poorly controlled hypertension who suffered a Stanford type B aortic dissection. After drug-based treatment failed, the patient was treated using endovascular techniques to place an endoprosthesis with stenting. Endovascular treatment is proving to be an effective tool for definitive treatment, with a good survival rate at the end of the first year after the procedure.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868944PMC
http://dx.doi.org/10.1590/1677-5449.000117DOI Listing

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