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
Dans En
| WPRIM
| ID: wpr-28191
Responsable en Bibliothèque :
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.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Maladies de l'aorte
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Paresthésie
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Procédures endovasculaires
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Hypertension artérielle
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Polykystoses rénales
/
Jambe
Limites du sujet:
Adult
/
Humans
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Male
langue:
En
Texte intégral:
Vascular Specialist International
Année:
2015
Type:
Article