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Case reports

Emergent antegrade endovascular stent placement in a patient with perforated Stanford B dissection via right axillary artery

^a Department of Cardiac Surgery, Heart Center Bonn, University of Bonn, Germany
^b Department of Radiology, University of Bonn, Germany

Received 17 January 2008; received in revised form 13 March 2008; accepted 14 March 2008.

^_* Corresponding author. Address: Department of Cardiac Surgery, University of Bonn, Sigmund Freud Str. 25, 53127 Bonn, Germany. Tel.: +49 228 287 4190; fax: +49 228 287 5591. (Email: chris.probst{at}ukb.uni-bonn.de).

We present a case of a ruptured chronic Stanford B dissection of the aorta which was successfully treated with a tapered endoprosthesis using the right axillary artery for access. Challenges to endovascular strategies for thoracic aortic pathology include relatively restricted endoprosthesis configurations and problems associated with endovascular access. Especially in younger patients the right axillary artery should be considered as a possible and safe access for antegrade stent placement.

Key Words: Endovascular stent placement • Aortic dissection • Cardiac surgery