학술논문
A rare case of an acute type B aortic dissection contained infrarenal rupture of the false lumen after prior endovascular abdominal aneurysm repair.
Document Type
Report
Author
Streck E; Department of Vascular Surgery, Medical Faculty, Augsburg University Hospital, Augsburg, Germany.; Souri Y; Department of Vascular Surgery, Medical Faculty, Augsburg University Hospital, Augsburg, Germany.; Hyhlik-Dürr A; Department of Vascular Surgery, Medical Faculty, Augsburg University Hospital, Augsburg, Germany.
Source
Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101701125 Publication Model: eCollection Cited Medium: Print ISSN: 2468-4287 (Print) Linking ISSN: 24684287 NLM ISO Abbreviation: J Vasc Surg Cases Innov Tech Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2468-4287
Abstract
New-onset acute type B aortic dissection after prior endovascular aneurysm repair is extremely rare. Extension of an aortic dissection can cause destabilization of the previously implanted stent graft, thrombosis of the stent graft, and rupture of the aneurysmal sac, with high mortality without therapy. This report describes the case of a 66-year-old patient complaining of sudden abdominal pain radiating to both flanks. Computed tomography angiography of the aorta revealed acute type B aortic dissection with infrarenal rupture of the false lumen after endovascular abdominal aneurysm repair 5 years prior. The patient underwent infrarenal open surgical conversion with suprarenal aortic clamping and implantation of a bifurcated Dacron graft. Postoperatively, no serious complications resulted from the treatment, except for fascial dehiscence. In such cases, the patients can be treated in an emergency situation with open repair, despite the high risk of complications and mortality.
Competing Interests: None.
(© 2023 The Author(s).)
Competing Interests: None.
(© 2023 The Author(s).)