AI Article Synopsis
- A 60-year-old man experienced chest pain and severe blood flow issues in his right leg, leading to the discovery of a type B aortic dissection.
- Doctors used an endovascular procedure to create an opening (fenestration) in the dissection flap and placed a covered stent in the right common iliac artery to restore blood flow.
- Ten years later, the condition remains stable with the stent functioning well, showing that this method can effectively treat limb ischemia in patients with aortic dissection.
Article Abstract
A 60-year-old man presented with chest pain and acute limb ischemia of the right leg. He was found to have a type B aortic dissection with a flap occluding the origin of the right common iliac artery. The dissection flap was fenestrated endovascularly with the placement of a covered stent in the right common iliac artery. After 10 years, the dissection remains stable with a minimal increase in the aorta size. The stent is patent with no lower extremity symptoms or reintervention. Fenestration and stenting of the obstructing flap can be a durable reperfusion strategy for patients with aortic dissection presenting with acute limb ischemia.
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Source |
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10009714 | PMC |
| http://dx.doi.org/10.1016/j.jvscit.2022.11.014 | DOI Listing |
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