AI Article Synopsis
- - A 47-year-old woman was diagnosed with a serious type IIIb aortic dissection and suffered a stroke (cerebral infarction) related to her condition, with previous dilatation of the descending aorta noted at age 69.
- - She underwent an initial endovascular repair procedure aimed at occluding the false lumen but later experienced further dilation of the aorta, driven by abnormal blood flow from the common carotid artery.
- - A second intervention was done to occlude the proximal false lumen at the aortic arch, and a year later, imaging showed significant reduction in the size of the descending aorta, indicating successful treatment with no endoleakage.
Article Abstract
In this study, we report the case of a 47-year-old female who presented with extensive acute type IIIb aortic dissection and cerebral infarction. At 69 years of age, dilatation of the descending aorta was noted to be more than 70 mm with compression of the left atrium. We performed endovascular repair with distal false lumen occlusion. However, further dilatation of the descending aorta with false lumen flow from the re-entry of the common carotid artery was detected. She subsequently underwent additional proximal false lumen occlusion by embolization at the aortic arch. A year later, as per her computed tomography angiography findings, appreciable shrinkage of the descending aorta without endoleakage was observed.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8241550 | PMC |
| http://dx.doi.org/10.3400/avd.cr.21-00008 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
In surgery for acute type A aortic dissection, controlling bleeding from the posterior wall of the proximal anastomosis is particularly challenging. To address this, we use the "reversed turn-up technique." For the reinforcement of the proximal aortic stump, Teflon felt strips were placed inside and outside the suture line with 4-0 polypropylene continuous transverse mattress sutures, and BioGlue was applied to the false lumen.
View Article and Find Full Text PDFAutomatic calculation method for stenosis ratio based on dialysis access ultrasound image segmentation.
Med Phys
December 2024
Department of Echocardiography, Ultrasound Diagnostic Center, The First Hospital of Jilin University, Changchun, China.
Background: Dialysis Access (DA) stenosis impacts hemodialysis efficiency and patient health, necessitating exams for early lesion detection. Ultrasound is widely used due to its non-invasive, cost-effective nature. Assessing all patients in large hemodialysis facilities strains resources and relies on operator expertise.
View Article and Find Full Text PDFMidterm Results of the STABILISE Technique in the Treatment of Aortic Dissection.
Vasc Endovascular Surg
December 2024
Baylor Scott and White Heart and Vascular Hospital, Dallas, TX, USA.
: Contemporary treatments of acute aortic dissection, including medical, surgical, and endovascular options, are remarkably effective at the management of malperfusion and rupture. Unfortunately, long-term studies indicate that 30%-50% of patients need secondary procedures to treat progressive aneurysmal enlargement of the untreated aorta. The Stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair (STABILISE) technique was introduced to improve long-term outcomes.
View Article and Find Full Text PDFSuccessful Bailout of Catheter-Induced Dissection in Acute Myocardial Infarction Resulting From a Nondominant Right Coronary Artery Occlusion.
Case Rep Cardiol
December 2024
Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
A 48-year-old male with a history of hyperlipidemia presented to the emergency department with chest pain. Electrocardiographic abnormalities indicated an acute coronary syndrome. Urgent coronary angiography revealed nondominant right coronary artery (RCA) occlusion.
View Article and Find Full Text PDFContrast Agent Pooling in the Descending Aorta Due to Severe Heart Failure.
Clin Pract Cases Emerg Med
November 2024
Mito Kyodo General Hospital, Department of Radiology, University of Tsukuba, Mito, Japan.
Case Presentation: An 86-year-old female presented to our emergency department with chest pain and orthopnea and was diagnosed with heart failure and ST-elevation myocardial infarction, prompting hospitalization. During hospitalization, she developed a fever. A chest and abdominal contrast-enhanced computed tomography (CT), conducted to investigate the cause of the fever, coincidentally revealed sedimentation of contrast agent in the descending aorta.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!