<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-706X</journal-id>
<journal-title><![CDATA[Angiologia e Cirurgia Vascular]]></journal-title>
<abbrev-journal-title><![CDATA[Angiol Cir Vasc]]></abbrev-journal-title>
<issn>1646-706X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Angiologia e Cirurgia Vascular]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-706X2021000400295</article-id>
<article-id pub-id-type="doi">10.48750/acv.425</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Isolated abdominal aortic dissection - a different animal? - case series]]></article-title>
<article-title xml:lang="pt"><![CDATA[Disseção isolada da aorta abdominal - um animal diferente - série de casos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rego]]></surname>
<given-names><![CDATA[Duarte]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar e Universitário do Porto Serviço de Angiologia e Cirurgia Vascular ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>17</volume>
<numero>4</numero>
<fpage>295</fpage>
<lpage>298</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-706X2021000400295&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-706X2021000400295&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-706X2021000400295&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Isolated abdominal aortic dissection (IAAD) is a relatively rare event and precise indications for treatment aren't clearly deJned. Its natural history is not fully understood due to the rarity of the disease and to the fact that most surgeons have a low threshold to intervene in these patients. Open surgery represents the classical treatment but endovascular intervention has gained wide acceptance in most centers and is now the most frequently adopted treatment option. The largest series of treated patients are from Asian centers with the largest of them comprising only 33 cases whereas in western surgical centers the largest series contains only 21 patients.  Methods:  Single center, retrospective, observational, study of patients with IAAD who were treated with open or endovascular surgery.  Results:  We describe eight patients with IAAD who underwent treatment in our institution (four males and four females). Median age at presentation was 78 years and all patients were asymptomatic. Median aortic diameter at presentation was 30mm (14-85mm). All but one patient underwent endovascular treatment. Three patients were treated with bifurcated aortic endografts, three patients had a single stent-graft (iliac limbs of aortic endografts) implanted and one patient underwent a CERAB procedure for coexistent stenotic disease of the aortic bifurcation. There were no perioperative deaths. Median follow-up was 6,2 years (2 months-13 years). Late reintervention was needed in one patient, 8 years after initial surgery, due to a type 1 endoleak.  Conclusion:  According to our experience, endovascular intervention represents a safe and durable treatment option in IAAD, however, long-term follow-up is mandatory. Larger studies with longer follow-ups are needed to understand this disease.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A disseção isolada da aorta abdominal (DIAA) é um evento relativamente raro e não estão dernidas indicações claras para tratamento. A sua história natural é pouco compreendida devido a essa raridade e ao facto de a maioria dos cirurgiões terem um limiar reduzido para intervenção nestes doentes. A cirurgia aberta representa o tratamento clássico mas a intervenção endovascular apresenta aceitação na grande generalidade dos centros cirúrgicos sendo atualmente a opção mais adotada. As maiores séries de doentes descritas na literatura provêm da Ásia apresentando a maior delas uma amostra de apenas 33 casos enquanto que nas séries ocidentais a maior descreve apenas 21 doentes.  Métodos:  Estudo retrospetivo, observacional, de doentes com DIAA tratados, por cirurgia aberta ou endovascular, num Centro Cirúrgico.  Resultados:  Descrevemos oito doentes com DIAA que foram submetidos a cirurgia na nossa Instituição (quatro homens e quatro mulheres. A mediana de idades à apresentação era de 78 anos e todos os doentes eram assintomáticos. O diâmetro aórtico mediano à apresentação era de 30mm (14-85mm). Todos os doentes, com exceção de um, foram submetidos a tratamento endovascular. Três doentes foram tratados com endopróteses aórticas bifurcadas, em três doentes foram implantadas endopróteses tubulares únicas (extensores ilíacos de endopróteses aórticas bifurcadas) e um doente foi submetido a uma reconstrução endovascular da bifurcação aórtica (&#8220;CERAB&#8221;) por doença arterial obstrutiva coexistente da bifurcação aórtica. Não ocorreram mortes per-operatórias. O tempo mediano de seguimento dos doentes foi de 6,2 anos (2 meses - 13 anos). Foi necessária reintervenção tardia em um doente, 8 anos após a cirurgia inicial, devido a uma endofuga tipo 1.  Conclusão:  De acordo com a nossa experiência a intervenção endovascular representa um tratamento seguro e durável na DIAA, no entanto, um seguimento prolongado dos doentes é obrigatório. São necessários estudos de maior dimensão com tempos de seguimento alargados para melhor compreender esta doença.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Aorta]]></kwd>
<kwd lng="en"><![CDATA[Aortic Dissection]]></kwd>
<kwd lng="en"><![CDATA[Endovascular Techniques]]></kwd>
<kwd lng="en"><![CDATA[Abdominal Aortic Aneurysm]]></kwd>
<kwd lng="pt"><![CDATA[Aorta]]></kwd>
<kwd lng="pt"><![CDATA[Disseção Aórtica]]></kwd>
<kwd lng="pt"><![CDATA[Técnicas Endovasculares]]></kwd>
<kwd lng="pt"><![CDATA[Aneurisma da Aorta Abdominal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mantelas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Antonitsis]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Kaitzis]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Hatzibaloglou]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Moros]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous isolated dissection of the abdominal aorta: single-center experience]]></article-title>
<source><![CDATA[Interact Cardiovasc Thorac Surg]]></source>
<year>2009</year>
<volume>8</volume>
<page-range>398-401</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Trimarchi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[International Registry of Acute Aortic Dissection (IRAD) investigators. Acute abdominal aortic dissection: insight from the International Registry]]></article-title>
<source><![CDATA[J Vasc Surg.]]></source>
<year>2007</year>
<volume>46</volume>
<page-range>913-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roberts]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[Roberts]]></surname>
<given-names><![CDATA[WC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aortic dissection with the entrance tear in abdominal aorta]]></article-title>
<source><![CDATA[Heart J.]]></source>
<year>1991</year>
<volume>121</volume>
<page-range>1834-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Farber]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lautherbach]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Wagner]]></surname>
<given-names><![CDATA[WH]]></given-names>
</name>
<name>
<surname><![CDATA[Cossman]]></surname>
<given-names><![CDATA[DV]]></given-names>
</name>
<name>
<surname><![CDATA[Long]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous infrarenal abdominal aortic dissection presenting as claudication: case report and review of the literature]]></article-title>
<source><![CDATA[Ann Vasc Surg.]]></source>
<year>2004</year>
<volume>18</volume>
<page-range>4-10</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hirst]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Jonhs]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Kime]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dissecting aneurysms of the aorta:a review of 505 cases]]></article-title>
<source><![CDATA[Medicine]]></source>
<year>1958</year>
<volume>37</volume>
<page-range>217-79</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Farber]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Wagner]]></surname>
<given-names><![CDATA[WH]]></given-names>
</name>
<name>
<surname><![CDATA[Cossman]]></surname>
<given-names><![CDATA[DV]]></given-names>
</name>
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Walsh]]></surname>
<given-names><![CDATA[DB]]></given-names>
</name>
<name>
<surname><![CDATA[Fillinger]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Isolated dissection of the abdominal aorta: clinical presentation and therapeutic options]]></article-title>
<source><![CDATA[J Vasc Surg.]]></source>
<year>2002</year>
<volume>36</volume>
<page-range>205-10</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cambria]]></surname>
<given-names><![CDATA[RP]]></given-names>
</name>
<name>
<surname><![CDATA[Brewster]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
<name>
<surname><![CDATA[Moncure]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Steinberg]]></surname>
<given-names><![CDATA[FL]]></given-names>
</name>
<name>
<surname><![CDATA[Abbott]]></surname>
<given-names><![CDATA[WM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous aortic dissection in the presence of coexistent or previously repaired atherosclerotic aortic aneurysm]]></article-title>
<source><![CDATA[Ann Surg.]]></source>
<year>1988</year>
<volume>208</volume>
<page-range>619-24</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jonker]]></surname>
<given-names><![CDATA[FH]]></given-names>
</name>
<name>
<surname><![CDATA[Schlösser]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Moll]]></surname>
<given-names><![CDATA[FL]]></given-names>
</name>
<name>
<surname><![CDATA[Muhs]]></surname>
<given-names><![CDATA[BE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dissection of the abdominal aorta. Current evidence and implications for treatment strategies: a review and meta-analysis of 92 patients]]></article-title>
<source><![CDATA[J Endovasc Ther.]]></source>
<year>2009</year>
<volume>16</volume>
<page-range>71-80</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kouvelos]]></surname>
<given-names><![CDATA[GN]]></given-names>
</name>
<name>
<surname><![CDATA[Vourliotakis]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Arnaoutoglou]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Papa]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Avgos]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Peroulis]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endovascular treatment for isolated acute abdominal aortic dissection]]></article-title>
<source><![CDATA[J Vasc Surg.]]></source>
<year>2013</year>
<volume>58</volume>
<page-range>1505-11</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rego]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Loureiro]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endovascular treatment of isolated chronic abdominal aortic dissection]]></article-title>
<source><![CDATA[Acta Med Port.]]></source>
<year>2016</year>
<volume>29</volume>
<page-range>224-7</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jawadi]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Bisdas]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Torsello]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Stavroulakis]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Donas]]></surname>
<given-names><![CDATA[KP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endovascular treatment of isolated abdominal aortic dissections: long-term results]]></article-title>
<source><![CDATA[J Endovasc Ther.]]></source>
<year>2014</year>
<volume>21</volume>
<page-range>324-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Han]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Zhao]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Systematic review and meta-analysis of current literature on isolated abdominal aortic dissection]]></article-title>
<source><![CDATA[Eur J Vasc Endovasc Surg.]]></source>
<year>2020</year>
<volume>59</volume>
<page-range>545-56</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kang]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[YW]]></given-names>
</name>
<name>
<surname><![CDATA[Heo]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Woo]]></surname>
<given-names><![CDATA[SY]]></given-names>
</name>
<name>
<surname><![CDATA[Park]]></surname>
<given-names><![CDATA[YJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[DI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment strategy based on the natural course of the disease for patients with spontaneous isolated abdominal aortic dissection]]></article-title>
<source><![CDATA[J Vasc Surg.]]></source>
<year>2017</year>
<volume>666</volume>
<page-range>1668-78</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
