Endovascular aortic repair of infrarenal abdominal aortic dissection

Am Surg. 2010 Jul;76(7):770-3.

Abstract

We present two cases of infrarenal abdominal aortic dissection (IAAD) that were treated by endovascular aortic repair (EVAR). The EVAR procedure was successful, although one patient developed a proximal Type I endoleak several months after the procedure; both patients remain symptom-free more than 24 months after surgery. A literature search revealed that EVAR has been performed in only 14 cases of IAAD. Based on these 14 cases, we believe EVAR is feasible and effective for the treatment of IAAD. Moreover, this treatment strategy represents a reasonable alternative to open surgery, especially in cases of complicated juxtarenal abdominal aortic dissection.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Angiography, Digital Subtraction
  • Aortic Aneurysm, Abdominal / diagnosis
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Dissection / diagnosis
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation / methods*
  • Humans
  • Magnetic Resonance Angiography
  • Male
  • Middle Aged
  • Postoperative Complications