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Heart - Lung (Varna)

Two-Stage Therapy in a Patient with Aortic Dissection Type II

Veselin Petrov, Plamen Panayotov, Chavdar Bachvarov, Emil Yordanov


The dissections of the descending thoracic aorta still present a challenge both for surgeons and for interventional radiologists.

The difficult surgical access, and high intra- and postoperative mortality rate are the reasons, which require the search for an alternative to the surgical approach. Stent-grafting of affected arteries has proven to be a good alternative and recently has been developing more and more in contemporary medicine. The newly designed stent-graft types, which would allow the application of minimally invasive techniques in order to ensure protection of the left cerebral hemisphere and the left upper limb, are becoming more popular. Unfortunately, for us these are still expensive implants and their use is related to financial troubles for the patients, the hospitals and the National Health Insurance Fund (NHIF). However, the accumulated experience by the surgeons and interventional radiologists leads to the achievement of excellent results when applying this therapy.


debranching; dissection of descending thoracic aorta; stent-graft

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