Endovascular Therapy of Acute type B Aortic Dissection Complicated with Visceral Malperfusion

Huang Cheng, Liu Yuan, Luo Son

Abstract

Organ ischemia owing to aortic dissection often requires emergency surgery for rapid restoration of blood flow into true lumen. We here present a case of 54 years old woman who was admitted to our hospital and underwent TEVAR. The pre-procedural course was complicated by visceral ischemia, which led to renal dysfunction, metabolic acidosis, and paralyzed intestinal obstruction. The case reported suggests that TEVAR is a viable treatment in the management of Standford type B Debakey III aortic dissection complicated with organ malperfusion.