Simultaneous endovascular treatment of synchronous symptomatic acute type B aortic dissection and large infrarenal aortic aneurysm. Technical tips and case report.
Case report
Complicated aortic B dissection
PETTICOAT
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
21
06
2020
revised:
19
07
2020
accepted:
19
07
2020
pubmed:
13
9
2020
medline:
13
9
2020
entrez:
12
9
2020
Statut:
ppublish
Résumé
Data from the literature suggest that in patients with acute type B aortic dissection (ATBAD), associated with AAA, rupture risk is higher at the confluence tract than isolated lessions. Herein, we report a case of ATBAD and AAA managed with simultaneous intervention. We report a complicated case of a symptomatic patient presenting with a type B aortic dissection and false lumen extension into superior mesenteric artery (SMA) with an infrarenal abdominal aortic aneurysm (AAA). Severe back pain and hypertension were the patient's initial complaints. This patient underwent endovascular repair with a thoracic and infrarenal aortic endograft. AAA rupture has been detected at admission in three-fourths of patients with ATBAD that extended to or involved a coexisting unoperated atherosclerotic aneurysms. Prompt surgical intervention is essential to deal with this dreadful aortic emergency. In our experience a totally endovascular solution to treat a complicated ATBAD plus AAA was a rapid solution with low invasivity, no complication and complete healing of patients.
Identifiants
pubmed: 32917552
pii: S2210-2612(20)30571-X
doi: 10.1016/j.ijscr.2020.07.060
pmc: PMC7876933
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
S157-S161Informations de copyright
Copyright © 2020. Published by Elsevier Ltd.
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