A Case of Endovascular Repair with Stent Graft and Peripheral Bare Stent for Type B Acute Aortic Dissection with Renal Ischemia

We report a case of a 45-year-old man, who was transported as an emergency case to our institution because of type B dissection with paraplegia and acute renal failure. Computed tomography (CT) showed severe stenosis of the true lumen by pressure of thrombus of false lumen, and laboratory data demon...

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Bibliographic Details
Published inThe Journal of Japanese College of Angiology Vol. 60; no. 8; pp. 145 - 149
Main Authors Saga, Toshifumi, Hori, Yuto, Mikoshiba, Haruki, Urata, Masahiro
Format Journal Article
LanguageJapanese
Published Japanese College of Angiology 10.08.2020
Subjects
malperfusion
TEVAR
type B aortic dissection
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Summary:We report a case of a 45-year-old man, who was transported as an emergency case to our institution because of type B dissection with paraplegia and acute renal failure. Computed tomography (CT) showed severe stenosis of the true lumen by pressure of thrombus of false lumen, and laboratory data demonstrated renal ischemia. We performed TEVAR succesfully, but severe stenosis of the true lumen remained narrow. So, we added Peripheral self-expanding stent in narrow true lumen. After the operation, patient improved urine output and laboratory data. And narrow true lumen was gradually expanded.
ISSN:0387-1126
1880-8840
DOI:10.7133/jca.20-00023