Type B Aortic Dissection with Malperfusion of Both Common Iliac Arteries That Underwent Stent Placement Using the Left Brachial Approach.
10.3904/kjm.2016.90.5.433
- Author:
Young Joo PARK
1
;
Jeong Eun LEE
;
Jin Suk KANG
;
Hee Ryeong JANG
;
Min Ji KIM
;
Sang Pil KIM
;
Han Cheol LEE
Author Information
1. Cardiovascular Center, Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. glaraone@hanmail.net
- Publication Type:Case Report
- Keywords:
Aorta;
Aortic dissection;
Stents;
Endovascualar procedures
- MeSH:
Aorta;
Arteries;
Iliac Artery*;
Mortality;
Stents*
- From:Korean Journal of Medicine
2016;90(5):433-439
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Malperfusion syndrome is a complication of acute descending aortic dissection (DAD) and it is associated with a poor clinical outcome. Surgical treatment for it has a high rate of mortality. Thoracic endovascular aortic repair (TEVAR) for DAD with malperfusion syndrome has resulted in good clinical outcomes. However, when both common iliac arteries are compromised by a false lumen, it is impossible to conduct TEVAR because there is no accessible artery. We successfully treated a case of DAD with malperfusion syndrome in which both common iliac arteries were compromised by placing stents in both arteries using the left brachial approach.
