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Emergent option in complicated acute type B aortic dissection
  1. Keisuke Nakabayashi1,
  2. Toshikazu Shimizu1,
  3. Ken Takahashi2 and
  4. Hiroshi Ando1
  1. 1Heart Center, Kasukabe Chuo General Hospital, Kasukabe, Japan
  2. 2Radiology, Kasukabe Chuo General Hospital, Kasukabe, Japan
  1. Correspondence to Dr Keisuke Nakabayashi; keisuke2018{at}


Man in his 30s was diagnosed with type B acute aortic dissection with malperfusion syndrome. Emergent endovascular therapy assisted by intravascular ultrasound was performed due to the unavailability of the neighbourhood cardiovascular surgeons and stored stent grafts. Stenting at the dissected superior mesenteric artery resolved the malperfusion syndrome. Acute aortic dissection complicated by malperfusion syndrome warrants rapid diagnosis and appropriate treatment. Endovascular therapy could be the most promptly accessible and effective strategy in certain situations. Intravascular ultrasound is also crucial for proper wiring and stenting.

  • Interventional cardiology
  • Pericardial disease
  • Cardiovascular system
  • Adult intensive care

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  • Contributors KN, TS and KT designed this case report. KN mainly wrote this manuscript. HA supervised it.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.