Tratamiento endoluminal de disección aguda complicada en aorta descendente: Comunicación de un caso

• Mario Fava P ^[1] ; Manuel Espíndola ^[2] ; Hernán Bertoni ^[3] ; M Soledad Loyola Z ^[1] ; Luis Meneses Q ^[1] ; Mauricio Maureira ^[2]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
  2. [2] Hospital Dipreca

     Hospital Dipreca

     Santiago, Chile

     
  3. [3] Hospital Italiano Servicio de Radiología Intervencional y Cirugía Cardiotorácica

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 134, Nº. 8, 2006, págs. 1024-1029
• Idioma: español
• Títulos paralelos:
  • Endoluminal stent-graft placement for acute dissection of the descending aorta complicated with rupture: Report of one case
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• Resumen

  • Acute dissection of the aorta, although not common, has early and highly lethal complications. The type A dissection is treated with surgery. Patients with type B dissections are treated with surgery if they have complications like rupture, growth or visceral ischemia. Surgery, however, has complications such as spinal cord ischemia. Endovascular grafts have less mortality and complications. We report a 59 years old male patient with a type B dissection complicated with rupture. He was treated successfully with the placement of an endoluminal graft. He was discharged five days after the procedure in good conditions. After one year of follow up, the patient remains asymptomatic (Rev Méd Chile 2006; 134: 1024-9).