Emergency endovascular repair of complicated Stanford type B aortic dissections within 24 hours of symptom onset in 30 cases Tang Jing-dong, PhD, Huang.

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Presentation transcript:

Emergency endovascular repair of complicated Stanford type B aortic dissections within 24 hours of symptom onset in 30 cases Tang Jing-dong, PhD, Huang Jun-feng, MD, Zuo Ke-qiang, PhD, Hang Wen-zhao, MD, Yang Ming-feng, MD, Fu Wei-guo, PhD, Wang Yu-qi, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 141, Issue 4, Pages 926-931 (April 2011) DOI: 10.1016/j.jtcvs.2010.05.038 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Routine endovascular stent-graft treatment was performed for patients with the first entry tear 15 mm or more from the inferior margin of the LSA opening. The stent-graft was placed close to the proximal end of the LSA to enhance the supportive strength of the anchoring area. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 926-931DOI: (10.1016/j.jtcvs.2010.05.038) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 For patients with the first entry tear less than 15 mm from the inferior margin of the LSA opening, bilateral angiography of the carotid and vertebral arteries was performed to evaluate the blood supply to the brain. If the right vertebral and basilar arteries were normal, and the circle of Willis was complete, then a 1-stage repair was performed to overlap the LSA to enhance the length and supportive strength of the anchoring area. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 926-931DOI: (10.1016/j.jtcvs.2010.05.038) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Preoperative contrast-enhanced CT suggested that the first entry tear was located at the opposite side of the celiac trunk in the descending aorta. B, An “open-window” stent-grafting was applied for the endovascular repair, and immediate postoperative angiography indicated that there was no false lumen, and the celiac trunk and the superior mesenteric artery were well visualized. C, Follow-up contrast-enhanced CT showed that the location of the stent was excellent, complete thrombosis of the false lumen had occurred, and the visceral artery was clearly visualized. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 926-931DOI: (10.1016/j.jtcvs.2010.05.038) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions