Korean Circ J.
2001 Dec;31(12):1330-1335. 10.4070/kcj.2001.31.12.1330.
Aortic Dissection Complicated with Lower Extremity and Renal Ischemia Treated by Percutaneous Stent Insertion
- Affiliations
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- 1Cardiology Division, Yonsei Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea. cdhlyj@yumc.yonsei.ac.kr
- KMID: 1938925
- DOI: http://doi.org/10.4070/kcj.2001.31.12.1330
Abstract
- A 62-year-old woman was admitted due to acute pain in the back and the right lower extremity. CT and angiography showed a chronic dissection of the ascending aorta and a newly developed dissection of the descending aorta complicated with ischemia of the left renal artery and right lower extremity. Therefore, a Wall stent was inserted percutaneously at the descending thoracic aorta and the stenotic left renal artery was opened by percutaneous transluminal renal angioplasty with a Mac (4.0 x 22 mm, Amg, Korea) stent. Thereafter, renal function was normalized and the blood pressure was better controlled at discharge. A follow up CT scan 3 months after the procedure showed patent true lumen of the descending thoracic aorta and left renal artery.
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