Endovascular repair of acute type B thoracic aortic dissection

被引:5
作者
Le Huu, Alice [1 ]
Preventza, Ourania [1 ,2 ]
机构
[1] Baylor Coll Med, Michael E DeBakey Dept Surg, Div Cardiothorac Surg, BCM 390,One Baylor Plaza, Houston, TX 77030 USA
[2] Texas Heart Inst, Dept Cardiovasc Surg, Sect Adult Cardiac Surg, Houston, TX USA
关键词
Aneurysm; dissecting; aorta; thoracic; endovascular procedures; stents grafts; vascular grafting; INTERNATIONAL REGISTRY;
D O I
10.21037/acs-2021-taes-26
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Approximately one-third of patients with acute Stanford type B or DeBakey type III aortic dissection (TBAD) will develop complications, including persistent symptoms, malperfusion, enlarging aneurysms and impending rupture. In these cases, TBAD becomes a surgical emergency that requires endovascular intervention to complement the medical therapy. The immediate goal of endovascular therapy is to reestablish flow to the true lumen, stabilize the aneurysm and prevent rupture. Long-term goals are the remodeling of the descending thoracic aorta and the prevention of further surgeries in the thoracoabdominal aorta. In this report, we describe our step-by-step endovascular approach to TBAD repair.
引用
收藏
页码:793 / 800
页数:8
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