Interdisciplinary team approach for complicated type B aortic dissection with concomitant hematothorax by endovascular stent grafting and left side mini thoracotomy: a case report
1 Department of Cardiac Surgery, Heartcenter Leipzig University, Struempellstrasse 39, Leipzig, 04289, Germany
2 Center of Vascular Medicine, Angiology and Vascular Surgery, Park Hospital Leipzig, Leipzig, Germany
3 Department of Diagnostic and Interventional Radiology, Heartcentre Leipzig University, Leipzig, Germany
Journal of Cardiothoracic Surgery 2012, 7:111 doi:10.1186/1749-8090-7-111Published: 12 October 2012
Due to high mortality rates in surgical treatment, total endovascular stent grafting has become a promising therapeutic option in patients with acute aortic dissection type B. In our case, a 76- year- old patient with acute ruptured aortic dissection type B and hematothorax achieved concomitant total endovascular stent grafting and left side mini thoracotomy. With moderate neurologic impairment he was discharged from hospital after 20 days.
This case shows that early mortality of live threatening acute aortic dissection type B with hemorrhagic pleural effusion may be reduced by total endovascular stent grafting and concomitant mini thoracotomy.