Medical College of Wisconsin
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Acute aortic dissection into a preexisting abdominal aortic aneurysm. Ann Vasc Surg 1994 Sep;8(5):491-5



Pubmed ID




Scopus ID

2-s2.0-0028142846   5 Citations


Acute aortic dissection and abdominal aortic aneurysm presenting as coexistent conditions is rare. We report a patient with a history of hypertension and acute severe back pain who had an acute aortic dissection extending into a preexisting 8 cm abdominal aortic aneurysm that was diagnosed by CT scan. There was no evidence of aortic rupture or leakage. The patient was treated with antihypertensive medication for 2 months to allow maturation of the acute dissection prior to elective repair of the abdominal aortic aneurysm. The repair was constructed to allow continued perfusion of both the true and false lumina by fenestration of the aortic septum at the proximal anastomosis. There were no postoperative complications. This case illustrates an unusual combination of aortic diseases. A management plan is described that safely treats both pathologic conditions.

Author List

Jacobs DL, Freischlag JA, Seabrook GR, Towne JB


Gary R. Seabrook MD Chief, Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Acute Disease
Aneurysm, Dissecting
Aortic Aneurysm, Abdominal
Back Pain
Combined Modality Therapy
Middle Aged
Tomography, X-Ray Computed
jenkins-FCD Prod-468 69a93cef3257f26b866d455c1d2b2d0f28382f14