Type B aortic dissection after endovascular abdominal aortic aneurysm repair causing endograft collapse and severe malperfusion Vikram Iyer, MD, Mark.

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Presentation transcript:

Type B aortic dissection after endovascular abdominal aortic aneurysm repair causing endograft collapse and severe malperfusion Vikram Iyer, MD, Mark Rigby, MD, George Vrabec, MD Journal of Vascular Surgery Volume 50, Issue 2, Pages 413-416 (August 2009) DOI: 10.1016/j.jvs.2009.03.060 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 Coronal computed tomography slice shows (a) aortic dissection just distal to left subclavian artery with distal progression. Axial slices at the level of the (b) celiac axis and (c) superior mesenteric artery show severe compression of true lumen. Coronal slice in the abdomen shows (d) compression and occlusion of the endovascular stent graft. Journal of Vascular Surgery 2009 50, 413-416DOI: (10.1016/j.jvs.2009.03.060) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative fluoroscopy and angiography shows (a) placement of the stent-graft with (b) contrast flow in the true lumen. The (c) celiac axis, superior mesenteric artery, and (d) left renal artery are all patent. Journal of Vascular Surgery 2009 50, 413-416DOI: (10.1016/j.jvs.2009.03.060) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 3 Nonenhanced coronal computed tomography slice shows re-expansion of the abdominal stent graft. Journal of Vascular Surgery 2009 50, 413-416DOI: (10.1016/j.jvs.2009.03.060) Copyright © 2009 Society for Vascular Surgery Terms and Conditions