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Endovascular management of an acute type B aortic dissection in a patient with fibromuscular dysplasia  Jeanette H. Man, BS, Abby Rothstein, MD, Parag.

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Presentation on theme: "Endovascular management of an acute type B aortic dissection in a patient with fibromuscular dysplasia  Jeanette H. Man, BS, Abby Rothstein, MD, Parag."— Presentation transcript:

1 Endovascular management of an acute type B aortic dissection in a patient with fibromuscular dysplasia  Jeanette H. Man, BS, Abby Rothstein, MD, Parag J. Patel, MD, Cheong J. Lee, MD  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 4, Issue 2, Pages (June 2018) DOI: /j.jvscit Copyright © 2018 The Authors Terms and Conditions

2 Fig 1 Overview and radiographic findings of the aortic dissection in our patient. a, Overview illustration demonstrating the aortic disease process in our patient with fibromuscular dysplasia (FMD). b, Coronal view computed tomography (CT) angiogram demonstrating extension of dissection to the distal aorta involving bilateral common iliac artery (CIA) aneurysms. c, Sagittal view CT angiogram demonstrating an intramural hematoma and dissection of the descending thoracic aorta with areas of false lumen perfusion. d, Axial view CT angiogram of the CIA aneurysms with apparent entry tear of the left CIA. TBAD, Type B aortic dissection. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 76-79DOI: ( /j.jvscit ) Copyright © 2018 The Authors Terms and Conditions

3 Fig 2 Endovascular aneurysm repair (EVAR) procedural images. a, Intravascular ultrasound image of the descending thoracic aorta at the level of the left subclavian artery (LSA). A large false lumen (FL) and comparatively smaller compressed true lumen (TL) were noted. b, Intravascular ultrasound image of the left common iliac artery (CIA) aneurysm and dissection. Entry tear (ET) and separation of the TL and FL are clearly seen. c, Intraoperative angiography during EVAR demonstrating separate entry tear of the dissection from the right CIA. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 76-79DOI: ( /j.jvscit ) Copyright © 2018 The Authors Terms and Conditions

4 Fig 3 Postprocedural imaging and follow-up imaging. a, Completion angiogram after endovascular aneurysm repair (EVAR). b, Three-dimensional volumetric image of aorta at presentation. c, Remodeling of aorta after EVAR. d, Bilateral renal arteries demonstrating classic “string of beads” appearance signifying fibromuscular dysplasia (FMD). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 76-79DOI: ( /j.jvscit ) Copyright © 2018 The Authors Terms and Conditions

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