Single-stage repair of a complex type B aortic dissection associated with a pressurized infrarenal abdominal aortic aneurysm

Mitul S. Patel, Heitham T. Hassoun, Mark G. Davies, Alan B. Lumsden

Research output: Contribution to journalArticle

Abstract

The decision-making involved in managing type 2 aortic dissections remains challenging despite the advances in endovascular technology. We report a challenging case of a patient presenting with a type 2 aortic dissection and false lumen extension into an infrarenal abdominal aortic aneurysm (AAA). Severe back pain and hypertension were the patient's initial complaints, and dynamic magnetic resonance angiography revealed 1-way pulsatile flow into the AAA sac from the false lumen. This patient underwent endovascular repair with a thoracic and infrarenal aortic endograft, successfully excluding the false lumen and decompressing the infrarenal aneursymal sac. This is a unique presentation of total endovascular repair of a symptomatic type B aortic dissection with a pressurized infrarenal AAA sac from false lumen flow into the sac.

Original languageEnglish (US)
Pages (from-to)1182.e9-1182.e12
JournalAnnals of Vascular Surgery
Volume27
Issue number8
DOIs
StatePublished - Jan 1 2013

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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