Successful Endovascular Stent-Graft Repair for Complicated Type B Aortic Dissection Developed in a Patient with Polycystic Kidney Disease
Vascular Specialist International
; : 58-61, 2015.
Article
in En
| WPRIM
| ID: wpr-28191
Responsible library:
WPRO
ABSTRACT
Polycystic kidney disease (PCKD) is rarely associated with aortic dissection (AD), which is a life-threatening disease. Although endovascular stent-graft repair tends to show better outcomes than conventional therapies in complicated type B AD (TBAD), successful endovascular intervention of TBAD with malperfusion in a patient with PCKD has not been reported. This case shows a 37-year-old male who had sudden onset of sharply stabbing epigastric pain with severe hypertension, who was diagnosed with TBAD and PCKD by a computed tomography and initially underwent medical treatment. Four days after discharge, he was rehospitalized with left leg pain and paresthesia due to left lower leg malperfusion. Thoracic endovascular stent-graft repair covering the primary tear site of dissection was performed successfully, leading to a decrease in false lumen and improvement of symptoms. We report the case of complicated TBAD in a patient with PCKD treated with endovascular stent-graft repair.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Aortic Diseases
/
Paresthesia
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Endovascular Procedures
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Hypertension
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Polycystic Kidney Diseases
/
Leg
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Vascular Specialist International
Year:
2015
Type:
Article