Ferko A, Krajina A, Jon B, Lesko M, Voboril Z, Zizka J
Department of War Surgery, Purkyne Military Medical Academy, 500 01 Hradec Králové, Czech Republic.
Eur Radiol. 1998;8(2):298-300. doi: 10.1007/s003300050384.
Aortic dissection is primarily localized in the thoracic aorta. Dissection of the abdominal aorta is exceedingly rare, especially in the absence of a blunt abdominal trauma. Two cases of a primarily infrarenal aortic dissection were diagnosed by US, CT and angiography. The patients were treated by stent graft placement. The stent grafts were introduced via a femoral arteriotomy through the introducer sheath and were placed so that they occluded entry and reentry of aortic dissection. The stent graft placement caused total obliteration of a false channel of the dissection immediately after endoprosthesis deployment. The patients were followed-up by CT and angiography at 16 and 3 months after surgery without complication.
