Stent Grafting of Dissected Descending Aorta in Patients With Marfan's Syndrome

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Stent grafting of dissected descending aorta in patients with Marfan's syndrome: mid-term results.

OBJECTIVES This study sought to assess the safety and the effectiveness of endovascular stent grafting of chronic aortic dissection (AD) in Marfan patients. BACKGROUND The management of chronic AD of the descending thoracic aorta (DTA) is challenging. This is especially true in Marfan patients, who tend to exhibit poor short- and long-term results after conventional surgery. METHODS Fifteen...

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A 65-year-old man was referred for bilateral, painful cyanosis of the toes, of sudden onset. He was taking warfarin for a previous aortic and mitral valve replacement and aortocoronary bypass grafting 2 years earlier. On physical examination, “blue toe” syndrome, with normal pedal pulses, was evident bilaterally. A transesophageal echocardiogram excluded the presence of valvular or intracavitar...

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Endovascular stent-grafting for diseases of the descending thoracic aorta.

PRINCIPLES Endoluminal stent-grafts are emerging as a less invasive alternative to conventional open surgery in the management of descending thoracic aortic dissections and aneurysms. We describe our experience with endovascular stent-grafting in the treatment of thoracic aorta pathology. METHODS 17 Patients were treated with 23 endovascular stents. The underlying pathology was an atheroscler...

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We report three cases of contained rupture of the descending thoracic aorta managed by endovascular stent grafting and discuss the possibility of managing this life-threatening complication in emergency, by endoluminal devices. Further experience is needed to specify the indications for aortic stenting in descendant thoracic aortic ruptures.

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ژورنال

عنوان ژورنال: JACC: Cardiovascular Interventions

سال: 2008

ISSN: 1936-8798

DOI: 10.1016/j.jcin.2008.10.005