Intussusception like lesion after fenestration in aortic type B dissection.

Details

Serval ID
serval:BIB_A98185BB2873
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Intussusception like lesion after fenestration in aortic type B dissection.
Journal
Interactive Cardiovascular and Thoracic Surgery
Author(s)
Rolf T., Qanadli S.D., Rey J., von Segesser L.K.
ISSN
1569-9285[electronic], 1569-9285[linking]
Publication state
Published
Issued date
2010
Volume
11
Number
3
Pages
376-377
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
We report on a patient with Marfan syndrome who presented a Stanford type B dissection of the descending thoracic aorta in late pregnancy. After a cesarean section, the patient presented a severe obstruction of the mesenteric superior artery. An endovascular fenestration was performed (balloon and guidewire based fenestration). Computed tomography (CT) angiography revealed an intussusception 'like' image of the abdominal aortic layers as a consequence of the fenestration procedure. Because of aneurismal progression in the abdominal aorta, surgical repair of the abdominal aorta and intussusception material removal was achieved six weeks later. The patient is currently in good condition. We conclude that the intussusception could be induced by a guidewire. This fenestration procedure is not recommended in patients with structural aortic disorders.
Keywords
Adult, Aneurysm, Dissecting/etiology, Aneurysm, Dissecting/radiography, Aortic Aneurysm, Abdominal/etiology, Aortic Aneurysm, Abdominal/radiography, Aortic Aneurysm, Thoracic/etiology, Aortic Aneurysm, Thoracic/radiography, Aortography/methods, Endovascular Procedures/adverse effects, Female, Humans, Intussusception/etiology, Intussusception/radiography, Marfan Syndrome/complications, Pregnancy, Pregnancy Complications, Cardiovascular/etiology, Pregnancy Complications, Cardiovascular/radiography, Tomography, X-Ray Computed, Treatment Outcome, Vascular Surgical Procedures
Pubmed
Web of science
Open Access
Yes
Create date
02/07/2010 15:31
Last modification date
20/08/2019 16:13
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