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Aortic intimal intussusception during acute type B aortic dissection endovascular repair
Zhi-Yuan Wu1,2, Peng Li1,2, Ji-Yang Wang1,2
1Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Beijing 100730, China.
Annals of Translational Medicine
|January 14, 2020
Summary
Aortic intimal intussusception is a rare complication during endovascular repair of type B aortic dissection. A hybrid operation successfully treated this complication, restoring aortic patency.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Aortic Diseases
Background:
- Aortic intimal intussusception (AoII) is an uncommon complication, particularly during endovascular repair of acute uncomplicated type B aortic dissection.
- This case highlights a rare instance of AoII occurring in a 47-year-old male during the procedure.
Observation:
- An abdominal aortic stent was placed to recanalize the aorta but failed, with computed tomography angiography confirming AoII and thrombus in the stent.
- The patient was transferred and underwent a hybrid operation.
Findings:
- The hybrid operation successfully addressed the aortic intimal intussusception and resolved the thrombus.
- Postoperative angiography confirmed the patency of the aorta, with no further complications.
Implications:
- This case demonstrates the successful management of a rare AoII complication using a hybrid approach.
- The findings underscore the importance of prompt diagnosis and tailored surgical intervention for complex aortic pathologies.
