Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissection

Rudra Pandya; Luc Dubois; Oonagh Scallan

doi:10.1016/j.jvscit.2024.101659

Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissection

J Vasc Surg Cases Innov Tech. 2024 Oct 28;11(1):101659. doi: 10.1016/j.jvscit.2024.101659. eCollection 2025 Feb.

Authors

Rudra Pandya¹, Luc Dubois², Oonagh Scallan²

Affiliations

¹ Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
² Department of Vascular Surgery, Western University, London, Ontario, Canada.

Abstract

This case report describes the endovascular management of a hybrid arch dissection stent inadvertently deployed in the false lumen during acute type A aortic dissection repair, resulting in renal and lower extremity malperfusion. Prompt identification and intervention are essential to minimize the morbidity and mortality associated with malperfusion. Various endovascular strategies exist to restore perfusion, and this case highlights a unique approach given the obliteration of the true lumen proximally and anatomy of the visceral ostia predominantly originating from the false lumen.

Keywords: Aortic dissection; Endovascular therapy; Hybrid aortic arch repair; Malperfusion.

Publication types

Case Reports