Type B aortic dissection with severe visceral and limb ischaemia treated with a complete endovascular revascularisation – a case report

Overview

Acute aortic dissection is an emergency condition requiring an immediate intervention by multidisciplinary medical staff due to the high mortality associated with this diagnosis. We present a case report of a patient with a history of hypertension, undertreated because of non-cooperation. The patient was referred to our centre after she was diagnosed with acute aortic dissection type B according to the Stanford classification. The angiography showed signs of visceral, renal and limb ischaemia. The patient’s condition was discussed with a vascular surgeon, who assessed surgical treatment as highly risky. The patient was indicated for endovascular intervention. A thoracic stent graft was implanted, a stent was placed in the superior mesenteric artery and right renal artery and an extensive stenting of the left iliac and femoral arteries was executed. In the following text, we deal with the interventional procedure, the period after the procedure and we discuss the most serious complications associated with the diagnosis and the endovascular procedure.

Keywords:
aortic (rupture) dissection – endovascular repair – stent graft – extensive stenting