DIAGNOSIS AND TREATMENT OF STANFORD B THORACIC AORTIC DISSECTION COMPLICATED WITH RENAL ISCHEMIA
- VernacularTitle:Stanford B型胸主动脉夹层动脉瘤合并肾缺血的诊治(附3例报告)
- Author:
Xiang FENG
;
Zaiping JING
- Publication Type:Journal Article
- Keywords:
aortic aneurysm, dissecting;
aorta, thoracic;
renal ischemia;
endovascular graft exclusion.
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the diagnosis and treatment of Stanford B thoracic aortic dissection eomplicated with renal ischemia, 29 cases of Stanford B thoracic aortic dissection admitted from January 1996 to April 2000 were retrospectively studied. Three of them had renal ischemia secondary to aortic dissection (2 acute,1 chronic). One patient in acute stage died 3 days after onset, the other patient in acute stage complicated with bilateral lower extremity ischemia was treated with fenestration of intimal flap, and the symptom was relieved. The patient in chronic stage was treated with endovascular graft exclusion for aortic dissection and the renal ischemia was relieved because of the restored true lumen blood. The results showed that palliative bypass helps relieve symptoms and improve survival rate. For the chronic aortic dissection complicated with renal ischemia, endovascular graft exclusion can restore the true lumen blood and relieve renal ischemia.
