Extensive endovascular thoracoabdominal aortic septotomy for treatment of malperfusion in acute aortic dissection.
Publication/Presentation Date
8-1-2026
Abstract
Management of malperfusion in the setting of acute aortic dissection presents a challenging clinical scenario. We describe a case series of three patients with acute aortic dissection and malperfusion managed with extensive thoracoabdominal endovascular septal fenestration. In all patients, extensive aortic septotomy successfully addressed malperfusion in the acute setting, with evidence of favorable aortic remodeling at follow-up. This technique represents a viable option for the rapid management of malperfusion in the setting of aortic dissection, particularly for patients with anatomy that precludes treatment with thoracic aortic stent-graft repair.
Volume
12
Issue
4
First Page
102329
Last Page
102329
ISSN
2468-4287
Published In/Presented At
Eddinger, K. C., Calthorpe, L., & Hiramoto, J. S. (2026). Extensive endovascular thoracoabdominal aortic septotomy for treatment of malperfusion in acute aortic dissection. Journal of vascular surgery cases and innovative techniques, 12(4), 102329. https://doi.org/10.1016/j.jvscit.2026.102329
Disciplines
Medicine and Health Sciences
PubMedID
42368739
Department(s)
Department of Surgery
Document Type
Article