Intussusception like lesion after fenestration in aortic type B dissection.

Détails

ID Serval
serval:BIB_A98185BB2873
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Intussusception like lesion after fenestration in aortic type B dissection.
Périodique
Interactive Cardiovascular and Thoracic Surgery
Auteur(s)
Rolf T., Qanadli S.D., Rey J., von Segesser L.K.
ISSN
1569-9285[electronic], 1569-9285[linking]
Statut éditorial
Publié
Date de publication
2010
Volume
11
Numéro
3
Pages
376-377
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
02/07/2010 15:31
Dernière modification de la notice
20/08/2019 16:13
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