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Ann Thorac Surg 2004;78:1072-1075
© 2004 The Society of Thoracic Surgeons


Case report

Stent-graft placement combined with percutaneous fenestration for the treatment of aortic dissection in a patient at risk of developing renal ischemia

Noriyuki Kato, MDa,*, Tadanori Hirano, MDc, Masaki Ishida, MDa, Uhito Yuasa, MDd, Takatsugu Shimono, MDb, Kan Takeda, MDa

a Radiology, Matsusaka General Hospital, Mie, Japan
b Department of Thoracic and Cardiovascular Surgery, Mie University Hospital, Mie, Japan
c Department of Radiology, Matsusaka General Hospital, Mie, Japan
d Department of Thoracic and Cardiovascular Surgery, Mie Central Hospital, Mie, Japan

Accepted for publication July 3, 2003.

* Address reprint requests to Dr Kato, Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie 514, Japan
kato{at}mri-gw.medic.mie-u.ac.jp

A 51-year-old man, suffering from an aortic dissection with the entry tear in the descending thoracic aorta, underwent replacement of the ascending aorta and aortic arch with resection of the entry tear. Although the false lumen of the descending thoracic aorta was thrombosed after surgery, redissection developed in the descending aorta 2 months later. Percutaneous fenestration was performed before stent-grafting because it was judged that there was a significant risk of left renal ischemia. Entry closure with a stent-graft was performed successfully and no renal ischemia developed. The patient is doing well at 1 year after the procedure.




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N. Uchida, H. Shibamura, A. Katayama, K. Aishin, M. Sutoh, and M. Kuraoka
Surgical strategies for organ malperfusions in acute type B aortic dissection
Interactive CardioVascular and Thoracic Surgery, January 1, 2009; 8(1): 75 - 78.
[Abstract] [Full Text] [PDF]




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