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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 47, 2001, No. 10, p. 711-714 |
Acute Dissection of the Aorta Type B Treated by
Endovascular Implantation of a Stentgraft Toušek P., Gregor P., Krupička J Kardiocentrum II. interní kliniky FN KV a 3. LF UK, Praha, přednosta prof. MUDr. Petr Widimský, DrSc. |
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Summary: Type B of the Stanford classification of dissection of the aorta is found in one third of patients
with dissection of the aorta. The diagnosis of this disease is not simple. The clinical condition of
these patients arouses frequently suspicion of other diseases, some diagnostic methods have a low
sensitivity, other are frequently unavailable. Treatment of dissection type B may be either conservative or surgical, whereby better short-term and long-term results are recorded according to
older reports by conservative methods. During recent years a new therapeutic method in type B
dissection of the aorta is endovascular implantation of a stentgraft at the site of the false entry
into the lumen. So far there does not exist any longerm investigation of patients with dissection
of the aorta type B after stentgraft implantation. According to contemporary knowledge this new
method could be used in patients with dissection of the aorta type B and reverse the hitherto
adverse course of the disease. Our description of a case draws attention to the difficult diagnosis
of this serious disease - dissection of the aorta - and demonstrates at the same time this new
therapeutic method.
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