TEVAR Procedure in Classic Chronic Type B Aortic Dissection
DOI:
https://doi.org/10.11594/jk-risk.03.2.8Keywords:
TEVAR, Diseksi Aorta tipe B, Kronis, malperfusi, surveillanceAbstract
Introduction : Type B aortic dissection still become health burden that can cost quality of life. In this case, TEVAR procedure still become treatment of choice if indicated. However, TEVAR in chronic type B aortic dissection still often questioned between advantage and complication.
Case Illustration : A 42 year old man with complaints of chest pain, was diagnosed with Chronic Type B Aortic Dissection. The TEVAR procedure is performed on the patient, with clinical and radiological indications. A CT scan evaluation was performed 3 months later and found closure of the false lumen, and the left kidney received collateral vascularization with a reduction in size. Currently the patient does not complain of any symptoms.
Discussion : The TEVAR procedure for chronic type B aortic dissection according to indications can increase the patient's life expectancy. Regular evaluation is still needed for early detection of complications and evaluation of the blood vessels around the stent-graft.
Conclusion : The TEVAR procedure in patients with chronic type B aortic dissection can be considered to increase patient survival.
Downloads
References
2. LeMaire SA, Russell L. Epidemiology of thoracic aortic dissection. Nat Rev Cardiol [Internet]. 2011;8(2):103–13. Tersedia pada: https://doi.org/10.1038/nrcardio.2010.187
3. Acosta S, Blomstrand D, Gottsäter A. Epidemiology and Long-Term Prognostic Factors in Acute Type B Aortic Dissection. Ann Vasc Surg. 1 Juli 2007;21(4):415–22.
4. Burke CR, Bavaria JE. The Role of Thoracic Endovascular Repair in Chronic Type B Aortic Dissection. Semin Thorac Cardiovasc Surg. 1 Maret 2020;32(1):21–4.
5. Isselbacher EM, Preventza O, Black JH, Augoustides JG, Beck AW, Bolen MA, dkk. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Vol. 146, Circulation. Lippincott Williams and Wilkins; 2022. hlm. E334–482.
6. Erbel R, Aboyans V, Boileau C, Bossone E, Di Bartolomeo R, Eggebrecht H, dkk. 2014 ESC guidelines on the diagnosis and treatment of aortic diseases. Vol. 35, European Heart Journal. Oxford University Press; 2014. hlm. 2873–926.
7. Evangelista A, Salas A, Ribera A, Ferreira-González I, Cuellar H, Pineda V, dkk. Long-term outcome of aortic dissection with patent false lumen: Predictive role of entry tear size and location. Circulation [Internet]. 26 Juni 2012 [dikutip 28 November 2023];125(25):3133–41. Tersedia pada: https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.111.090266
8. Creager MA, Beckman JA, Loscalzo Joseph. Vascular Medicine : A Companion to Braunwalds Heart Disease. 2019;
9. Van Bakel PAJ, Henry M, Kim KM, Yang B, Van Herwaarden JA, Alberto Figueroa C, dkk. Imaging features of renal malperfusion in aortic dissection. Eur J Cardiothorac Surg [Internet]. 1 April 2022 [dikutip 29 November 2023];61(4):805. Tersedia pada: /pmc/articles/PMC8947793/
10. Aoyagi S, Amako M, Wada K, Kosuga T, Yasunaga H. Repeated Peripheral Embolisms associated with Chronic Aortic Dissection. International Journal of Angiology. 1 September 2020;29(3):210–4.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal the right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) before and during the submission process, as it can lead to productive exchanges and earlier and greater citation of published work (See The Effect of Open Access).
How to Cite
