Journal of Clinical Case Reports

Noritoshi Minematsu

Publications

• Case Report
  A Case of Re-Endovascular Repair in Acute Phase after Endovascular Aortic Repair for Acute Type B Aortic Dissection Complicated by Visceral, Renal and Lower Limb Malperfusion
  Author(s): Mau Amako, Yuichi Morita, Masahiro Ohsumi, Shinji Kamiya, Hideaki Yamada, Mitsuru Fujii, Hiromitsu Teratani, Yuta Sukehiro, Go Kuwahara, Chihaya Itou, Hitoshi Matsumura, Noritoshi Minematsu and Hideichi WadaMau Amako, Yuichi Morita, Masahiro Ohsumi, Shinji Kamiya, Hideaki Yamada, Mitsuru Fujii, Hiromitsu Teratani, Yuta Sukehiro, Go Kuwahara, Chihaya Itou, Hitoshi Matsumura, Noritoshi Minematsu and Hideichi Wada
  
  We describe a case of re-endovascular aortic repair after endovascular aortic repair for acute type B aortic dissection, complicated by visceral, renal, and leg malperfusion. We performed endovascular aortic repair to cover the primary entry tear at the distal thoracic aortic arch in a 62-year-old male with visceral, renal, and leg malperfusion, after 4 days of conservative therapy. After the first operation, the pressure differential between upper and lower limbs disappeared. However, bilateral leg ischemia appeared at postoperative day 2. CT showed that the true lumen was severely compressed again by a thrombosed false lumen and two re-entries appeared at the level of the proximal celiac artery and infra-renal abdominal artery, respectively. The distal edge of the stent graft was intact with no new stent graft-induced entry. We once again performed endovascular aortic repair by mean.. Read More»
  DOI: 10.4172/2165-7920.1000809

  Abstract PDF