Tratamento endovascular de disseccao cronica toracoabdominal complicada com aneurisma toracico, mediante implante de endoprotese vascular



Document title: Tratamento endovascular de disseccao cronica toracoabdominal complicada com aneurisma toracico, mediante implante de endoprotese vascular
Journal: Revista do Colegio Brasileiro de Cirurgioes
Database: PERIÓDICA
System number: 000188687
ISSN: 0100-6991
Authors: 1

Institutions: 1Universidade Federal do Rio de Janeiro, Hospital Universitario Clementino Fraga Filho, Rio de Janeiro. Brasil
Year:
Season: May-Jun
Volumen: 27
Number: 3
Pages: 213-216
Country: Brasil
Language: Portugués
Document type: Artículo
Approach: Aplicado, caso clínico
English abstract Our objective is to report a case of a patient with a descending thoracic aortic aneurysm and chronic aortic dissection, who was submitted to an endovascular treatment. A 68-year-old male with coronary artery disease and hypertension, with no history of trauma, diabetes or smoking. He had myocardial infarction ten years ago. Under general anesthesia, the left femoral artery was surgically exposed and the left braquial artery was catheterized with a "pigtail" catheter, under Seldinger technique. The proximal 46mm/Æ and distal 34mm/Æ stent-graft was placed just distal to the origen of the left subclavian artery. Control arteriography showed that the lesion was completely excluded. The patient was discharged seven days after the surgery, when a computed tomographic control, was performed showing a sustained aneurysm exclusion and a satisfactory endovascular position
Disciplines: Medicina
Keyword: Cirugía,
Sistema cardiovascular,
Aneurismas,
Aorta torácica descendente,
Disección crónica,
Endoprótesis vascular
Keyword: Medicine,
Cardiovascular system,
Surgery,
Aneurysms,
Descending thoracic aorta,
Chronic dissection,
Vascular stent-graft
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