Arc of Buhler: A lifesaving anatomic variation. A case report
Abstract The presence of malperfusion syndrome in cases of complicated acute type B aortic dissection is a negative predictive factor and urgent intervention is indicated. Anatomic variations, such as the Arc of Buhler, contribute anastomotic channels and can preserve the visceral blood supply. In t...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
2020-11-01
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| Series: | Jornal Vascular Brasileiro |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100622&tlng=en |
| _version_ | 1819284713253109760 |
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| author | Schizas Nikolaos Patris Vasilios Lama Niki Eleftherios Orestis Argyriou Kratimenos Theodoros Argiriou Mihalis |
| author_facet | Schizas Nikolaos Patris Vasilios Lama Niki Eleftherios Orestis Argyriou Kratimenos Theodoros Argiriou Mihalis |
| author_sort | Schizas Nikolaos |
| collection | DOAJ |
| description | Abstract The presence of malperfusion syndrome in cases of complicated acute type B aortic dissection is a negative predictive factor and urgent intervention is indicated. Anatomic variations, such as the Arc of Buhler, contribute anastomotic channels and can preserve the visceral blood supply. In this case report, we describe the overall management of a 54-year-old man who presented with a type B aortic dissection. Initially, conservative management was chosen, as indicated for an uncomplicated type B dissection, but the dissection deteriorated. Despite the fact that severe occlusion of the celiac artery was detected on Computed Tomography (CT) angiography, the Arc of Buhler anatomical variation was present, contributing adequate visceral blood supply. After considering this finding, the patient was treated effectively with thoracic endovascular aortic repair (TEVAR). |
| first_indexed | 2024-12-24T01:51:45Z |
| format | Article |
| id | doaj.art-19f9b6f65b43476d96149a4f4bd22037 |
| institution | Directory Open Access Journal |
| issn | 1677-7301 |
| language | English |
| last_indexed | 2024-12-24T01:51:45Z |
| publishDate | 2020-11-01 |
| publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
| record_format | Article |
| series | Jornal Vascular Brasileiro |
| spelling | doaj.art-19f9b6f65b43476d96149a4f4bd220372022-12-21T17:21:43ZengSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro1677-73012020-11-011910.1590/1677-5449.200045Arc of Buhler: A lifesaving anatomic variation. A case reportSchizas Nikolaoshttps://orcid.org/0000-0002-3523-4881Patris VasiliosLama NikiEleftherios Orestis ArgyriouKratimenos TheodorosArgiriou MihalisAbstract The presence of malperfusion syndrome in cases of complicated acute type B aortic dissection is a negative predictive factor and urgent intervention is indicated. Anatomic variations, such as the Arc of Buhler, contribute anastomotic channels and can preserve the visceral blood supply. In this case report, we describe the overall management of a 54-year-old man who presented with a type B aortic dissection. Initially, conservative management was chosen, as indicated for an uncomplicated type B dissection, but the dissection deteriorated. Despite the fact that severe occlusion of the celiac artery was detected on Computed Tomography (CT) angiography, the Arc of Buhler anatomical variation was present, contributing adequate visceral blood supply. After considering this finding, the patient was treated effectively with thoracic endovascular aortic repair (TEVAR).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100622&tlng=encomplicated type B aortic dissectionvisceral malperfusionceliac arterymesenteric arteryTEVAR |
| spellingShingle | Schizas Nikolaos Patris Vasilios Lama Niki Eleftherios Orestis Argyriou Kratimenos Theodoros Argiriou Mihalis Arc of Buhler: A lifesaving anatomic variation. A case report Jornal Vascular Brasileiro complicated type B aortic dissection visceral malperfusion celiac artery mesenteric artery TEVAR |
| title | Arc of Buhler: A lifesaving anatomic variation. A case report |
| title_full | Arc of Buhler: A lifesaving anatomic variation. A case report |
| title_fullStr | Arc of Buhler: A lifesaving anatomic variation. A case report |
| title_full_unstemmed | Arc of Buhler: A lifesaving anatomic variation. A case report |
| title_short | Arc of Buhler: A lifesaving anatomic variation. A case report |
| title_sort | arc of buhler a lifesaving anatomic variation a case report |
| topic | complicated type B aortic dissection visceral malperfusion celiac artery mesenteric artery TEVAR |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100622&tlng=en |
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