Percutaneous fenestration of the aortic dissection membrane in malperfusion syndrome

Reber, D. and Aebert, H and Manke, M and Birnbaum, Dietrich E. (1999) Percutaneous fenestration of the aortic dissection membrane in malperfusion syndrome. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 15 (1). pp. 91-94. ISSN 1010-7940, 1873-734X

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Abstract

We present two cases of malperfusion syndrome due to aortic dissection type-B. A supra-renal blind sac phenomenon resulted in renal failure and absent femoral pulses in both patients. Additionally, one patient suffered from spinal cord ischemia, the other from severe abdominal pain. By interventional techniques, catheter perforation of the blind sac was achieved. The resulting re-entries were enlarged with a balloon catheter. Distal perfusion without pressure gradients was restored by this technique in both patients and resulted in complete relief of symptoms. Percutaneous fenestration of the aortic dissection membrane may be an alternative to operative treatment in malperfusion syndrome. (C) 1999 Elsevier Science B.V. All rights reserved.

Item Type: Article
Uncontrolled Keywords: ISCHEMIA; aortic dissection; malperfusion syndrome; percutaneous fenestration
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 29 Nov 2022 11:47
Last Modified: 29 Nov 2022 11:47
URI: https://pred.uni-regensburg.de/id/eprint/48642

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