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J Thorac Cardiovasc Surg 1999;118:1021-1025
© 1999 Mosby, Inc.
SURGERY FOR ACQUIRED CARDIOVASCULAR DISEASE |
From the Department of Radiology,a the Department of Cardiovascular Surgery,b and the Department of Cardiology,c Centre Hospitalier Universitaire, Hôpital de Rangueil, Toulouse, France.
Address for reprints: Professor H. Rousseau, MD, Service de Radiologie, C.H.U. Rangueil, 1, Avenue Jean Poulhès, 31403 Toulouse Cedex 4, France.
Objective: This is a report of endovascular treatment of a case of type B thoracoabdominal aortic dissection in a patient with progressive dyspnea, dorsolumbar pain, and expanding aortic diameter over a 1-year period.
Methods: Pretreatment imaging evaluation showed that the false lumen supplied only the celiac trunk. Endovascular treatment combined (1) embolization of the first segment of the celiac trunk to avoid distal back-flow into the false lumen and (2) stent grafting to occlude the initial entry tear.
Results: The treatment resulted in technical and clinical success. The patient remains asymptomatic 12 months after treatment.
Conclusion: Stent grafting offers an interesting therapeutic alternative to exclude the initial entry tear in aortic dissection and may be combined with other endovascular procedures.
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