Endovascular stenting for type B dissection involving a right-sided aortic arch.

Interactive Cardiovascular and Thoracic Surgery
Maria Grazia CrocciaUberto Bortolotti

Abstract

Endovascular stent-graft repair is emerging as the treatment of choice for complicated type B aortic dissection. In this report we describe a patient who presented with type B aortic dissection involving a right-sided aortic arch (RAA), a rare congenital vascular anomaly. The initial aggressive medical treatment proved unsuccessful due to false aneurysm expansion. Given the greater complexity of conventional surgical repair and the limited experience with this rare malformation, endovascular repair was preferred and successfully performed. We report the first case of endovascular repair of type B dissection involving RAA, confirming that endovascular treatment is technically feasible also when the dissection involves this unusual vascular malformation.

References

Jan 1, 1996·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·V Senthil, T Treasure
Jul 4, 2001·The Journal of Thoracic and Cardiovascular Surgery·K OkadaA Naito
Dec 15, 2010·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jerry EasoOtto Dapunt
Aug 9, 2011·Current Opinion in Cardiology·Rossella FattoriMarco Di Eusanio

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Citations

Mar 24, 2016·Interactive Cardiovascular and Thoracic Surgery·James G BarrThanos Athanasiou
Jun 5, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hao MaXiwei Zhang

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