American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
Go
American Journal of Medical Case Reports. 2015, 3(7), 218-221
DOI: 10.12691/ajmcr-3-7-10
Open AccessCase Report

Successful Urgent Endovascular Treatment of Acute Thoracoabdominal Aortic Type B Dissection in a Young Patient: Case Presentation and Findings at Late Follow-up

Puppini Giovanni1, , Perandini Simone1, Augelli Raffaele1, Petrilli Giuseppe2, Faggian Giuseppe2 and Montemezzi Stefania1

1Department of Radiology, AOUI Verona, Pzle Stefani 1, 37100, Verona, Italy

2Department of Cardiothoracic Surgery, AOUI Verona, Pzle Stefani 1, 37100, Verona, Italy

Pub. Date: June 15, 2015

Cite this paper:
Puppini Giovanni, Perandini Simone, Augelli Raffaele, Petrilli Giuseppe, Faggian Giuseppe and Montemezzi Stefania. Successful Urgent Endovascular Treatment of Acute Thoracoabdominal Aortic Type B Dissection in a Young Patient: Case Presentation and Findings at Late Follow-up. American Journal of Medical Case Reports. 2015; 3(7):218-221. doi: 10.12691/ajmcr-3-7-10

Abstract

Aortic dissection is a critical condition leading to significant mortality and morbidity. Urgent endovascular treatment is an attractive treatment option in selected Patients. A 46-year-old woman was admitted to the emergency room for sudden onset of severe abdominal pain radiating to the lower back with paresthesia of the right lower limb. CT scan revealed an acute thoracic aortic dissection at the level of the left subclavian artery descending into the abdominal aorta and both iliac arteries, with a compressed and thrombosed true lumen causing vascular infarcts in the right kidney. A stent-graft was deployed as soon as the patient’s vital signs were stabilized. CT and clinical follow-up revealed no signs of complication and a complete resolution of symptoms. In the presented case the endovascular approach resulted in a prompt and durable resolution of symptoms and underlying causes, which also allowed substantial renal parenchyma salvage.

Keywords:
aortic dissection TEVAR interventional radiology

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Figures

Figure of 5

References:

[1]  Larson EW, Edwards WD. Risk factors for aortic dissection: A necropsy study of 161 cases. Am J Cardiol 1984; 53: 849-55.
 
[2]  Mészáros I, Mórocz J, Szlávi J, et al. Epidemiology and clinicopathology of aortic dissection. Chest 2000; 117: 1271-8.
 
[3]  Bickerstaff LK, Pairolero PC, Hollier LH, et al. Thoracic aortic aneurysms: A population-based study. Surgery 1982; 92: 1103-8.
 
[4]  Tsai TT, Nienaber CA, Eagle KA. Acute aortic syndromes. Circulation 2005; 112: 3802-13.
 
[5]  Prendergast BD, Boon NA, Buckenham T. Aortic dissection: advances in imaging and endoluminal repair. Cardiovasc Intervent Radiol. 2002 Mar-Apr; 25(2):85-97.