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Ann Thorac Surg 2006;82:747-749
© 2006 The Society of Thoracic Surgeons

Case report

Treatment of Acute Type A Dissection by Percutaneous Endovascular Stent-Graft Placement

Daniel Zimpfer, MDa,*, Martin Czerny, MDa, Joachim Kettenbach, MDb, Maria Schoder, MDb, Ernst Wolner, MDa, Johannes Lammer, MDb, Michael Grimm, MDa

a Department of Cardiothoracic Surgery, University of Vienna Medical School, Vienna, Austria
b Department of Interventional Radiology, University of Vienna Medical School, Vienna, Austria

Accepted for publication November 22, 2005.

* Address correspondence to Dr Zimpfer, Waehringer Guertel 18-20, Vienna, A-1090 Austria (Email: daniel.zimpfer{at}meduniwien.ac.at).

Acute type A dissections are a life threatening condition requiring immediate surgical intervention to avoid aortic rupture or pericardial tamponade. Success of surgical intervention is markedly limited in those patients with advanced age, neurological deficits, and multiple co-morbidities at the time of treatment. We report the successful endovascular stent-graft treatment in a patient suffering from an acute type A dissection. Due to the presence of multiple comorbidities the patient was considered too high risk for surgical treatment.




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