Acute Stanford Type B Aortic Dissection after Endoluminal Grafting for the Treatment of Descending Thoracic Aortic Aneurysms

(Department of Cardiovascular Center, Fukushima Daiichi Hospital, Fukushima, Japan)

Hirofumi Midorikawa Tomohiro Ogawa Kouichi Satou
Masayuki Koyama Shunichi Hoshino
A 65-year-old patient underwent successful transluminally placed endoluminal prosthetic grafts (TPEGs) of a descending thoracic aortic aneurysm (dTAA). Two hours after TPEGs, the patient suddenly complained of chest, back pain and right leg pain. Angiography and computed tomography showed acute type B aortic dissection. Re-TPEGs was immediately performed, and the entry was successfully closed. This case suggests that TPEGs for the treatment of acute aortic dissection may be useful for selected patients.
@Jpn. J. Cardiovasc. Surg. 33: 26 -29 (2004)