Open surgical treatment of acute spontaneous isolated abdominal aortic dissection

Isolated acute abdominal aortic dissection is a relatively rare event. Its natural history is not fully understood and its optimal treatment is not established. Open surgery represents the most described treatment but endovascular intervention has had increasing application. Isolated chronic abdominal aortic dissection is even less described in the literature. We describe three patients with isolated chronic abdominal aortic dissection who underwent endovascular treatment in our institution. Mean age at presentation was 82 years. Indication for surgical intervention was aneurismal degeneration. Mean aortic diameter at presentation was 46.7 mm. There was no perioperative mortality or reinterventions. Mean follow-up was 5.3 years (2-12 years). Late reintervention was needed in one patient, eight years after initial surgery, due to type 1 endoleak. According to our experience, endovascular intervention represents an effective and durable treatment option in isolated chronic abdominal aortic dissection. However, long-term follow-up is mandatory. Furthermore, larger studies are still needed to understand this disease and its adequate treatment.

Download Full-text

Endovascular Treatment of Infrarenal Isolated Abdominal Aortic Dissection with Application of the Kissing Stents Technique: A Case Report and Review of the Literature

Annals of Vascular Diseases ◽

10.3400/avd.cr.16-00094 ◽

2017 ◽

Vol 10 (3) ◽

pp. 250-253 ◽

Cited By ~ 1

Author(s):

Georgios Sahsamanis ◽

Georgios Vourliotakis ◽

Konstantinos Maltezos ◽

Georgios Plakas ◽

Vasileios Tzilalis

Keyword(s):

Case Report ◽

Aortic Dissection ◽

Endovascular Treatment ◽

Review Of The Literature ◽

Abdominal Aortic ◽

Abdominal Aortic Dissection

Download Full-text

Endovascular Aortic Repair of Infrarenal Abdominal Aortic Dissection

The American Surgeon ◽

10.1177/000313481007600738 ◽

2010 ◽

Vol 76 (7) ◽

pp. 770-773 ◽

Cited By ~ 2

Author(s):

Yifei Pei ◽

Qingsheng Lu ◽

Junmin Bao ◽

Zhiqing Zhao ◽

Zaiping Jing

Keyword(s):

Aortic Dissection ◽

Treatment Strategy ◽

Open Surgery ◽

Literature Search ◽

Endovascular Aortic Repair ◽

Type I ◽

Aortic Repair ◽

Abdominal Aortic ◽

Type I Endoleak ◽

Abdominal Aortic Dissection

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.

Download Full-text