Sahsamanis Georgios, Vourliotakis Georgios, Maltezos Konstantinos, Plakas Georgios, Tzilalis Vasileios
Department of Vascular Surgery, 401 General Military Hospital of Athens, Athens, Greece.
Ann Vasc Dis. 2017 Sep 25;10(3):250-3. doi: 10.3400/avd.cr.16-00094.
Isolated abdominal aortic dissection (IAAD) is a rare form of aortic dissection involving usually the infrarenal part of the abdominal aorta. A 45-year-old male presented with lumbar pain and claudication. Computed tomography angiography (CTA) revealed an infrarenal IAAD extending to the left external iliac artery (EIA), causing ≥90% narrowing of the lumen. An endovascular approach was decided, with deployment of an aortic stent-graft and two balloon expandable stents in both common iliac arteries (IAs), applying the kissing stents technique. Post-surgical course was uneventful; 12 month follow-up showed excellent vessel patency. Endovascular therapy seems to be a feasible treatment option with promising long-term follow-up results.
孤立性腹主动脉夹层（IAAD）是一种罕见的主动脉夹层形式，通常累及腹主动脉肾下段。一名45岁男性因腰痛和间歇性跛行就诊。计算机断层扫描血管造影（CTA）显示肾下段IAAD延伸至左髂外动脉（EIA），导致管腔狭窄≥90%。决定采用血管内治疗方法，在双侧髂总动脉（IA）中植入主动脉覆膜支架和两个球囊扩张支架，采用“接吻支架”技术。术后过程顺利；12个月随访显示血管通畅良好。血管内治疗似乎是一种可行的治疗选择，长期随访结果令人满意。
