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Visceral Ischemia During Type B Dissection: Incidence, Prognostic Value, Diagnosis, and Operative Management

  • Domenico Spinelli
  • Hector W. L. de Beaufort
  • Santi TrimarchiEmail author
Chapter

Abstract

Visceral ischemia is a life-threatening complication of Type B dissection. Static and dynamic obstruction of visceral vessels may be responsible of end-organ ischemia. A timely diagnosis and treatment are crucial to increase the chances of survival. Nowadays, the endovascular approach is the first-line treatment for dissections complicated by visceral malperfusion. It includes thoracic aortic stent graft implantation, dissection flap fenestration, and visceral vessel stenting. In case of failure of these techniques, an open surgical approach is necessary. These include open fenestration and aortic graft replacement.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Domenico Spinelli
    • 1
    • 2
  • Hector W. L. de Beaufort
    • 1
  • Santi Trimarchi
    • 1
    • 3
    Email author
  1. 1.Thoracic Aortic Research CenterIRCCS Policlinico San DonatoSan Donato MilaneseItaly
  2. 2.Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Policlinico G. MartinoUniversity of MessinaMessinaItaly
  3. 3.Department of Scienze Biomediche per la SaluteUniversity of MilanMilanItaly

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