{"title":"Jumping lumens, A case of mesenteric ischemia after thoracic endovascular aortic repair for type B aortic dissection.","authors":"Halim Yammine, Aravinda Abeysekera, Frank R Arko","doi":"10.1016/j.jvscit.2024.101704","DOIUrl":null,"url":null,"abstract":"<p><p>We report a case of mesenteric ischemia after thoracic endovascular aortic repair (TEVAR) for chronic type B aortic dissection performed at a different institution. Computed tomography angiography findings indicated that the previous TEVAR had been deployed distally into the false lumen. To mitigate this, a large fenestration was created between the false lumen and true lumen. This was then followed by distal extension of the original TEVAR to improve the distal seal. Intravascular ultrasound examination was used to differentiate between the true and false lumens, as well as evaluate the status of branch vessels intraoperatively. This case illustrates the importance of intravascular ultrasound examination in providing real-time feedback to ensure optimal outcomes during complex procedures.</p>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"101704"},"PeriodicalIF":0.7000,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733033/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Surgery Cases Innovations and Techniques","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.jvscit.2024.101704","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
We report a case of mesenteric ischemia after thoracic endovascular aortic repair (TEVAR) for chronic type B aortic dissection performed at a different institution. Computed tomography angiography findings indicated that the previous TEVAR had been deployed distally into the false lumen. To mitigate this, a large fenestration was created between the false lumen and true lumen. This was then followed by distal extension of the original TEVAR to improve the distal seal. Intravascular ultrasound examination was used to differentiate between the true and false lumens, as well as evaluate the status of branch vessels intraoperatively. This case illustrates the importance of intravascular ultrasound examination in providing real-time feedback to ensure optimal outcomes during complex procedures.
期刊介绍：
Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.
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