Staged Endovascular Treatment of Thoracoabdominal Aortic Dissection (DeВakey Type III) in High Cardiovascular Risk Patient
https://doi.org/10.18705/2311-4495-2019-6-4-13-21
Abstract
Management of thoracoabdominal aortic dissection (DeBakey III type) is still a controversial subject because of the individual features each patient, nonspecific complains and symptoms, and severe complications associated with disease progression, such as aortic rupture, visceral malperfusion syndrome, retrograde dissection, refractory hypertension and pain.
This article reports the clinical case of staged endovascular treatment of 78-year-old female with chronic thoracoabdominal aortic dissection (DeBakey type III) affected by uncontrollable hypertension. Endovascular treatment is proving to be an affective and safety tool for treatment this complex group of patients including nontolerant to open surgery.
About the Authors
D. V. Chernova
Almazov National Medical Research Centre
Russian Federation
Competing Interests: not
Russian Federation
Chernova Daria V. - Vascular Surgeon, Associate Researcher, Scientific Department of Vascular and Interventional Surgery.
Akkuratova str. 2, Saint Petersburg, 197341
Competing Interests: not
N. N. Zherdev
Almazov National Medical Research Centre
Russian Federation
Competing Interests: not
Russian Federation
Zherdev Nicolai N. - Vascular Surgeon, Associate Researcher, Scientific Department of Vascular and Interventional Surgery.
Saint Petersburg
Competing Interests: not
M. A. Chernyavskiy
Almazov National Medical Research Centre
Competing Interests: not
Chernyavskiy Mikhail A. - PhD, Dr. Sc., Chief Researcher, Scientific Department of Vascular and Interventional Surgery.
Saint Petersburg
Competing Interests: not
References
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Review
For citations:
Chernova D.V., Zherdev N.N., Chernyavskiy M.A. Staged Endovascular Treatment of Thoracoabdominal Aortic Dissection (DeВakey Type III) in High Cardiovascular Risk Patient. Translational Medicine. 2019;6(4):13-21. (In Russ.) https://doi.org/10.18705/2311-4495-2019-6-4-13-21
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