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Asian Cardiovasc Thorac Ann 2004;12:99-102
© 2004 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTION

Endovascular Stent-Graft Repair of Aortic Dissection

Xiao-Xi Li, MD, Sheng-Ming Wang, MD, Wei Chen, MD1, Wen-Quan Zhuang, MD1, Zhuan-Hong Wu, MD, Guang-Qi Chang, MD, Song-Qi Li, MD, Jian-Yong Yang, MD, Yong-Jie Lin, MD

Department of Surgery
1 Department of Intervention Radiology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, People Republic of China

For reprint information contact: Xiao-Xi Li, MD Tel: 86 20 8775 5766 Fax: 86 20 8775 0632 Email: lix2{at}21cn.com Department of Surgery, First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan Road II, Guangzhou 510080, People’s Republic of China.

Between October 2000 and January 2002, 9 consecutive male patients with subacute or chronic aortic dissection underwent stent-graft placement. The indication for surgery was continuous pain or aneurysm development. One patient had a type A dissecting aortic aneurysm with a primary tear in the ascending thoracic aorta; the other 8 had type B dissection. Placement of an endovascular stent-graft was technically successful in 8 patients, and one underwent an open procedure for abdominal aortic fenestration. The entry site was sealed and the false lumen disappeared in 8 cases, and thrombosis of the false lumen was obtained. Rupture of an iliac artery dissecting aneurysm occurred in one patient 2 days after stent-graft placement; abdominal aortic fenestration with prosthetic replacement of the distal abdominal aorta was performed. One patient died of myocardial infarction 3 days after the stent-graft procedure. During a mean follow-up period of 7 months (1–16 months), one patient died of acute myocardial infarction at 11 months. It was concluded on the basis of these short-term results that endovascular repair of aortic dissection is a promising treatment, and abdominal aortic fenestration is a useful adjuvant procedure.




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P. H. Lin, T. T. Huynh, P. Kougias, J. Huh, S. A. LeMaire, and J. S. Coselli
Descending Thoracic Aortic Dissection: Evaluation and Management in the Era of Endovascular Technology
Vascular and Endovascular Surgery, February 1, 2009; 43(1): 5 - 24.
[Abstract] [PDF]


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