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Endovascular management of an acute type B aortic dissection in a patient with fibromuscular dysplasia. J Vasc Surg Cases Innov Tech 2018 Jun;4(2):76-79

Date

06/27/2018

Pubmed ID

29942887

Pubmed Central ID

PMC6013294

DOI

10.1016/j.jvscit.2017.12.012

Abstract

We report the case of a 44-year-old woman who developed an acute type B aortic dissection caused by an entry tear from an aneurysmal left common iliac artery that extended retrograde to the proximal descending thoracic aorta. She experienced refractory chest pain despite optimal medical management, thereby indicating repair. Endovascular aortic repair was subsequently performed. Intraoperatively, fibromuscular dysplasia was diagnosed by the characteristic appearance of her renal arteries. The patient tolerated the procedure and had resolution of her chest pain. In summary, we present a highly unusual case of type B aortic dissection resulting from a retrograde common iliac artery tear in a patient with fibromuscular dysplasia.

Author List

Man JH, Rothstein A, Patel PJ, Lee CJ

Authors

Parag J. Patel MD, MS, FSIR Professor in the Radiology department at Medical College of Wisconsin
Abby Rothstein MD Assistant Professor in the Surgery department at Medical College of Wisconsin




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