Endovascular stenting of a complicated type B aortic dissection in an 11-year-old patient: Case Report.

RATIONALE

Endovascular aortic repair in children in the case of aortic dissection (AD) is currently unavailable. This is the first report of aortic dissection type B in an 11-years old child treated in endovascular way.

PATIENT CONCERNS

Complicated AD. Since bowel malperfusion and aortic rupture the surgery was necessary in emergency.

DIAGNOSES

Computed angio tomography.

INTERVENTION

The modified PETTICOAT technique (Provisional Extension To Induce Complete Attachment) was used.

OUTCOME

Full recovery.

LESSONS

For the first-time telescope modification were used, to allow aorta to grow with a child. Such a strategy seems to be possible with long overlap and lack of oversizing between implants.