Tratamiento endoluminal de disección aguda complicada en aorta descendente: Comunicación de un caso

Abstract

Acute dissection of the aorta, although not common, has early and highly lethal complications. The type A dissection is treated with surgery. Patients with type B dissections are treated with surgery if they have complications like rupture, growth or visceral ischemia. Surgery, however, has complications such as spinal cord ischemia. Endovascular grafts have less mortality and complications. We report a 59 years old male patient with a type B dissection complicated with rupture. He was treated successfully with the placement of an endoluminal graft. He was discharged five days after the procedure in good conditions. After one year of follow up, the patient remains asymptomatic.

Manejo endovascular de las complicaciones agudas de la disección aórtica tipo B

“…A partir de las publicación de Parodi en 1991, en que describe los primeros casos de tratamiento de aneurismas de la aorta abdominal con endoprótesis 8 , se ha desarrollado rápidamente la cirugía endovascular aórtica, la que mediante procedimientos mínimamente invasivos interviene una amplia gama de lesiones como trauma, disecciones, aneurismas, etc, de la aorta torácica y abdominal [9][10][11][12][13][14][15] .…”