Cor Vasa 2017, 59(5):e474-e476

Stenting of the aortic arch and supra-aortic vessels, in a patient with DeBakey type I dissection

Ivo Petrov^a,*, Zoran Stankov^a, Galina Kozareva^b, Silvia A. Pavlova^c, Iv. Tasheva^a

^a Department of Invasive Cardiology, "City Clinic" University Hospital, Sofia, Bulgaria

^b Department of Diagnostic Imaging, "City Clinic" University Hospital, Sofia, Bulgaria

^c Department of Cardiology, "City Clinic" University Hospital, Sofia, Bulgaria

Background: Aortic dissection (AD) is a medical condition which requires emergent surgical intervention for dissection type I and II DeBakey. Despite advances in diagnostic and therapeutic modalities, mortality is still high. Additional tears, critical true lumen compression and obliteration with end-organ ischemia can compromise acute and chronic clinical outcomes after surgical intervention of AD. Endovascular treatment with non-covered stent implantation can be the treatment of choice for these cases. Thus the purpose includes closure of the proximal entry tear, depressurization of the false lumen, leading to its thrombosis, redirection of the blood flow towards the true lumen and induction of "aortic remodeling" process.

Keywords: Aortic dissection; Bare metal stents; Centralization; Decompression; Endovascular treatment

Received: May 16, 2016; Revised: November 2, 2016; Accepted: November 3, 2016; Published: October 1, 2017  Show citation