Endovascular scissoring in the management of complicated acute aortic dissection involving the infradiaphragmatic aorta

Sherif Sultan, MD, FRCS, EBQS-VASC, FACS, PhD; Mohamed Elsherif, MRCS; Wael Tawfick, MRCS; Niamh Hynes, MRCS, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2018)

Endovascular scissoring in the management of complicated acute aortic dissection involving the infradiaphragmatic aorta

Sherif Sultan, MD, FRCS, EBQS-VASC, FACS, PhD,
Mohamed Elsherif, MRCS,
Wael Tawfick, MRCS,
Niamh Hynes, MRCS, MD

Affiliations

Sherif Sultan, MD, FRCS, EBQS-VASC, FACS, PhD: Department of Vascular and Endovascular Surgery, Western Vascular Institute, National University of Ireland, Galway, Ireland; Department of Vascular and Endovascular Surgery, Galway Clinic Affiliated Hospital, Royal College of Surgeons in Ireland, Galway, Ireland; Correspondence: Sherif Sultan, MD, FRCS, EBQS-VASC, FACS, PhD, Professor of Vascular and Endovascular Surgery, Department of Vascular and Endovascular Surgery, Western Vascular Institute, National University of Ireland, Galway, Ireland
Mohamed Elsherif, MRCS: Department of Vascular and Endovascular Surgery, Western Vascular Institute, National University of Ireland, Galway, Ireland
Wael Tawfick, MRCS: Department of Vascular and Endovascular Surgery, Western Vascular Institute, National University of Ireland, Galway, Ireland
Niamh Hynes, MRCS, MD: Department of Vascular and Endovascular Surgery, Galway Clinic Affiliated Hospital, Royal College of Surgeons in Ireland, Galway, Ireland

Journal volume & issue: Vol. 4, no. 4
pp. 320 – 323

Abstract

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Complicated infrarenal aortic dissection conveys higher morbidity and mortality than proximal dissection. Septum maturation has a significant impact on false lumen modulation. We present two cases of infrarenal aortic aneurysm occurrence after acute dissection. Both cases had a DISSECT score of Sa, Ab, Di, C, PT Ab. Both were managed medically for 14 days, followed by endovascular scissoring, creating a fenestration window that was enhanced with stenting. Keywords: Endovascular scissoring, Aortic dissection, Infradiaphragmatic

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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