Interv Akut Kardiol. 2010;9(3):152-154

Acute aortic dissection managed with a stent graft

David Šipula¹, Václav Procházka², Leoš Pleva¹, Miroslav Homza¹

¹ Kardiovaskulární oddělení, Fakultní nemocnice Ostrava

² Radiologická klinika, Fakultní nemocnice Ostrava

A 41-year-old patient was transferred to our department for coronary angiography because of acutely developed chest pain; echocardiography

and coronary angiography were performed with no evidence of acute coronary lesion. Aortography and CTA revealed acute

dissection with a false lumen extending from the left subclavian artery to the left iliac artery – type B dissection. Given the general condition

of the patient, the aortic dissection was managed with implantation of a 34–34–212 mm Valiant stent graft. On follow-up, weak

filling of the left subclavian artery was detected; therefore, its transposition into the common carotid artery was performed. On further

follow-up, the patient was without complaints.

Keywords: aorta, dissection, computed tomography with angiography, stent graft

Published: June 1, 2010  Show citation