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Jumping lumens, A case of mesenteric ischemia after thoracic endovascular aortic repair for type B aortic dissection

Year: 2024

Type: article

Abstract: We report a case of mesenteric ischemia after thoracic endovascular aortic repair (TEVAR) for chronic type B aortic dissection performed at a different institution. Computed tomography angiography findings indicated that the previous TEVAR had been deployed distally into the false lumen. To mitigate this, a large fenestration was created between the false lumen and true lumen. This was then followed by distal extension of the original TEVAR to improve the distal seal. Intravascular ultrasound examination was used to differentiate between the true and false lumens, as well as evaluate the status of branch vessels intraoperatively. This case illustrates the importance of intravascular ultrasound examination in providing real-time feedback to ensure optimal outcomes during complex procedures.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2024.101704

Authors: Halim Yammine, Aravinda Abeysekera, Frank R. Arko

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250

OpenAlex ID: W4404963411

FWCI:

Cites: 6

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Related to: 10