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Vascular and Endovascular Surgery
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Type 1 Aortic Dissection Complicated by Lower Extremity and Renal Ischemia Treated with Surgical Aortic Replacement and Percutaneous Balloon Fenestration

A Case Report

Maroon B. Khoury

Hahnemann University School of Medicine, Allegheny Campus, Pittsburgh, Pennsylvania

Yvette D. Bailey

Hahnemann University School of Medicine, Allegheny Campus, Pittsburgh, Pennsylvania

Daniel H. Benckart

Hahnemann University School of Medicine, Allegheny Campus, Pittsburgh, Pennsylvania

Edward B. Savage

Hahnemann University School of Medicine, Allegheny Campus, Pittsburgh, Pennsylvania

After successful replacement of the ascending aorta and the aortic arch for a Type 1 aortic dissection, a persistent intimal tear resulted in expansion of the false lumen and in lower extremity and renal ischemia. This was successfully treated with percutaneous fenestration of the suprarenal abdominal aorta by means of a transseptal needle and balloon angioplasty. There were no complications, and benefits continued to result from the procedure at 4 months' follow-up.

Vascular and Endovascular Surgery, Vol. 32, No. 2, 203-206 (1998)
DOI: 10.1177/153857449803200212
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