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
06/27/2018Pubmed ID
29942887Pubmed Central ID
PMC6013294DOI
10.1016/j.jvscit.2017.12.012Scopus ID
2-s2.0-85045398956 (requires institutional sign-in at Scopus site) 1 CitationAbstract
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 CJAuthors
Parag J. Patel MD, MS, FSIR Vice Chair, Professor in the Radiology department at Medical College of WisconsinAbby Rothstein MD Assistant Professor in the Surgery department at Medical College of Wisconsin
