Eur J Cardiothorac Surg 2002;21:341
© 2002 Elsevier Science NL
Images in cardio-thoracic surgery |
Type III dissection treated with percutaneous fenestration and stenting
Frank A. Baciewicz, Jr*,
Lourdes Andaya,
David M. Williams
Wayne State University, Harper University Hospital, 3990 John R, Street 2102, Detroit, MI 48201, USA
Received 28 July 2001;
received in revised form 9 November 2001;
accepted 14 November 2001.
* Corresponding author. Tel.: +1-313-993-0580; fax: +1-313-993-0572
e-mail: fbaciewi{at}dmc.org
Key Words: Dissection • Paraplegia • Stenting
A 50-year-old male presented with lower extremity weakness and numbness. His evaluation included a chest CAT scan (Fig. 1
) which demonstrated a Type III dissection with a 4.0 cm descending thoracic aorta. Since his only symptoms were referable to the artery of Adamkiewicz, the patient was treated with fenestration and stenting of the descending thoracic aorta. Fig. 2
is the post-procedure angiogram. The patient's symptoms have not recurred for 3 years and the thoracic aortic diameter has remained stable.
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Fig. 1. Type III aortic dissection beginning distal to the left subclavian artery and extending through the thoracic aorta. The true and false lumens are visualized.
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