Kronzon I, Tunick P A, Riles T, Rosen R
Department of Medicine, New York University Medical Center, NY 10016, USA.
J Am Soc Echocardiogr. 2001 Sep;14(9):934-6. doi: 10.1067/mje.2001.108251.
In selected patients with descending aortic dissection, percutaneous intimal flap fenestration is a less-invasive alternative to surgery. We describe a patient with decreased renal and mesenteric blood flow as a result of descending aortic dissection. Percutaneous balloon intimal fenestration was performed under guidance of transesophageal echocardiography. Transesophageal echocardiography provided crucial information about the intimal flap puncture site and true- and false-lumen blood flow. After the flap fenestration, false-lumen blood flow increased, and the patient improved clinically.
