Korean J Med.
2012 Jan;82(1):78-84.
Two Cases of Descending Aortic Dissection with Compromised Visceral Artery, Renal Artery, and Iliac Artery Treated with Percutaneous Stent Insertions
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. glaraone@hanmail.net
- 2Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
- 3Department of Anesthesiology, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
Abstract
- The involved area is an important guide to the treatment of an acute aortic dissection. Generally, a Stanford type A aortic dissection requires surgery, whereas an uncomplicated Stanford type B aortic dissection is managed medically. However, managing a Stanford type B aortic dissection involving the visceral, renal, or iliac arteries is controversial because surgical perioperative mortality is higher than that for medically managed patients. Some researchers have attempted endovascular treatment to reduce perioperative mortality and protect vital organs. We experienced two cases of descending aortic dissection with compromised visceral, renal, and iliac arteries that were successfully treated by percutaneous stent insertion.
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