Subscribe to RSS
DOI: 10.1055/s-2006-924097
© Georg Thieme Verlag KG Stuttgart · New York
Treatment of an Acute Type B Dissection with an Intramural Haematoma in the Ascending Aorta by Percutaneous Endovascular Stent-Graft Placement
Publication History
                     Received March 1, 2006
                     
Publication Date:
06 November 2006 (online)

Abstract
Acute type B dissections accompanied by an intramural haematoma in the ascending aorta are rare. However, progression of the intramural haematoma in the ascending aorta poses risks for the patients, which are similar to those of type A dissections, including pericardial effusions and consecutive tamponade. To date, no clear treatment guidelines exist for these patients. We report on successful percutaneous endovascular stent-graft treatment of an acute type B dissection accompanied by an intramural haematoma in the ascending aorta as primary and sole form of treatment.
Key words
Cardiovascular surgery - thoracic surgery - aortic disease
References
- 1 Nienaber C A, Zannetti S, Barbieri B, Kische S, Schareck W, Rehders T C. INSTEAD study collaborators . Investigation of stent grafts in patients with type B aortic dissection: design of the INSTEAD trial - a prospective, multicenter, European randomized trial. Am Heart J. 2005; 149 592-599
- 2 Grabenwoger M, Fleck T, Czerny M, Hutschala D, Ehrlich M, Schoder M, Lammer J, Wolner E. Endovascular stent graft placement in patients with acute thoracic aortic syndromes. Eur J Cardiothorac Surg. 2003; 23 788-793 773
- 3 Czerny M, Cejna M, Hutschala D, Fleck T, Holzenbein T, Schoder M, Lammer J, Zimpfer D, Ehrlich M, Wolner E, Grabenwoger M. Stent-graft placement in atherosclerotic descending thoracic aortic aneurysms: midterm results. J Endovasc Ther. 2004; 11 26-32
Dr. Daniel Zimpfer
         Department of Cardiothoracic Surgery
University of Vienna Medical School
         
         Waehringer Guertel 18 - 20
         
         1090 Vienna
         
         Austria
         
         Phone: +43 14 04 00 56 43
         
         Fax: +43 14 04 00 56 42
         
         Email: daniel.zimpfer@meduniwien.ac.at
         
         
 
    