We report two cases of the successful emergent thoracic endovascular aortic repair (TEVAR) for Stanford type B acute aortic dissection (TBAD). Case 1: Computed tomography in a 55-years-old man, showed severe stenosis of the true lumen, and laboratory data demonstrated ischemia of multiple organs. TEVAR was successfully performed, but the patient required continuous hemofiltration and temporary hemodialysis. Case 2: A 67-year-old woman underwent successful emergent TEVAR for a ruptured TBAD. Emergent TEVAR is very effective for the treatment of severe complicated TBAD. However, further improvements to patient transport, earlier optimal devise transport are needed.
"},{"@language":"ja","@value":"症例1は55歳男性。他地域で急性大動脈解離B型を発症し転送され，真腔の高度狭窄，腹腔および上腸間膜動脈の血流低下を認めた。ステントグラフト挿入（TEVAR）後，血流は回復したが，臓器障害にて血液浄化，透析を施行した。症例2は68歳女性。胸背部痛にて他院にてCT中に胸腔内への破裂を認め緊急搬送し，TEVARにて救命した。救命率向上には患者搬送と最適デバイスを早期に準備する体制整備が重要である。
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Hospital"},{"@language":"ja","@value":"禎心会病院心臓血管センター"}]},{"@id":"https://cir.nii.ac.jp/crid/1030285133455802880","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"30281885"},{"@type":"NRID","@value":"1000030281885"},{"@type":"NRID","@value":"9000002874407"},{"@type":"NRID","@value":"9000283348981"},{"@type":"NRID","@value":"9000258096184"},{"@type":"NRID","@value":"9000004035947"},{"@type":"NRID","@value":"9000241123527"},{"@type":"NRID","@value":"9000258284050"},{"@type":"NRID","@value":"9000253456848"},{"@type":"NRID","@value":"9000021817268"},{"@type":"NRID","@value":"9000304617825"},{"@type":"NRID","@value":"9000023592803"},{"@type":"NRID","@value":"9000389943234"},{"@type":"NRID","@value":"9000023677725"}],"foaf:name":[{"@language":"ja","@value":"赤坂 伸之"},{"@language":"en","@value":"Akasaka Nobuyuki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Cardiovascular Surgery, Muroran Steal Memorial 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