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Percutaneous balloon fenestration of the intimal flap for management of limb threatening ischaemia in acute aortic dissection
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A 61 year old man with a history of systemic hypertension was admitted with severe chest and back pain of acute onset. Contrast enhanced computed tomography (CT) revealed acute Stanford type B aortic dissection extending to the iliac arteries. The patient was initially stabilised by intravenous antihypertensive medication, but soon developed …