Restricted accessResearch articleFirst published online 1998-03
Type 1 Aortic Dissection Complicated by Lower Extremity and Renal Ischemia Treated with Surgical Aortic Replacement and Percutaneous Balloon Fenestration
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.
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