Emergency endovascular repair of acute descending thoracic aortic dissection
Muhammad Anees Sharif, Mark Edward O’Donnell, Paul Henry Blair, Peter KennedyDepartment of Vascular and Endovascular Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, United KingdomBackground: Acute descending thoracic aortic dissection is a life-threatening emergency. I...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2007-11-01
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| Series: | Vascular Health and Risk Management |
| Online Access: | https://www.dovepress.com/emergency-endovascular-repair-of-acute-descending-thoracic-aortic-diss-peer-reviewed-article-VHRM |
| _version_ | 1819237330050875392 |
|---|---|
| author | Muhammad Anees Sharif Mark Edward O’Donnell Paul Henry Blair Peter Kennedy |
| author_facet | Muhammad Anees Sharif Mark Edward O’Donnell Paul Henry Blair Peter Kennedy |
| author_sort | Muhammad Anees Sharif |
| collection | DOAJ |
| description | Muhammad Anees Sharif, Mark Edward O’Donnell, Paul Henry Blair, Peter KennedyDepartment of Vascular and Endovascular Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, United KingdomBackground: Acute descending thoracic aortic dissection is a life-threatening emergency. It is not often considered as the initial diagnosis in patients presenting with epigastric pain and could easily be missed in a busy casualty department.Aim: This case report is aimed to highlight the feasibility of the technique and the need for long-term surveillance following endovascular repair of acute thoracic aortic dissection.Results: The patient presented with epigastric pain radiating to the interscapular region with a stable hemodynamic status. A computerized tomography (CT) scan demonstrated type B thoracic aortic dissection of the proximal descending thoracic aorta. A successful endovascular repair was carried out with uneventful recovery and follow-up CT scan six years after stent-grafting shows satisfactory position of the stent-graft, patent false lumen in the abdominal aorta perfusing the right kidney, and progressively enlarging diameter of the abdominal aorta.Conclusion: Thoracic aortic dissection should be considered as a differential diagnosis in patients presenting with epigastric and interscapular chest pain. Emergency endovascular repair of acute thoracic aortic dissection is feasible and relatively safe. Regular follow-up with CT scan is required to evaluate the long-term effi cacy and identify the need for re-intervention.Keywords: aortic, dissection, endovascular, thoracic |
| first_indexed | 2024-12-23T13:18:37Z |
| format | Article |
| id | doaj.art-228eaf163b9b43849352fb2b307d36c4 |
| institution | Directory Open Access Journal |
| issn | 1178-2048 |
| language | English |
| last_indexed | 2024-12-23T13:18:37Z |
| publishDate | 2007-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Vascular Health and Risk Management |
| spelling | doaj.art-228eaf163b9b43849352fb2b307d36c42022-12-21T17:45:32ZengDove Medical PressVascular Health and Risk Management1178-20482007-11-01Volume 37697731516Emergency endovascular repair of acute descending thoracic aortic dissectionMuhammad Anees SharifMark Edward O’DonnellPaul Henry BlairPeter KennedyMuhammad Anees Sharif, Mark Edward O’Donnell, Paul Henry Blair, Peter KennedyDepartment of Vascular and Endovascular Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, United KingdomBackground: Acute descending thoracic aortic dissection is a life-threatening emergency. It is not often considered as the initial diagnosis in patients presenting with epigastric pain and could easily be missed in a busy casualty department.Aim: This case report is aimed to highlight the feasibility of the technique and the need for long-term surveillance following endovascular repair of acute thoracic aortic dissection.Results: The patient presented with epigastric pain radiating to the interscapular region with a stable hemodynamic status. A computerized tomography (CT) scan demonstrated type B thoracic aortic dissection of the proximal descending thoracic aorta. A successful endovascular repair was carried out with uneventful recovery and follow-up CT scan six years after stent-grafting shows satisfactory position of the stent-graft, patent false lumen in the abdominal aorta perfusing the right kidney, and progressively enlarging diameter of the abdominal aorta.Conclusion: Thoracic aortic dissection should be considered as a differential diagnosis in patients presenting with epigastric and interscapular chest pain. Emergency endovascular repair of acute thoracic aortic dissection is feasible and relatively safe. Regular follow-up with CT scan is required to evaluate the long-term effi cacy and identify the need for re-intervention.Keywords: aortic, dissection, endovascular, thoracichttps://www.dovepress.com/emergency-endovascular-repair-of-acute-descending-thoracic-aortic-diss-peer-reviewed-article-VHRM |
| spellingShingle | Muhammad Anees Sharif Mark Edward O’Donnell Paul Henry Blair Peter Kennedy Emergency endovascular repair of acute descending thoracic aortic dissection Vascular Health and Risk Management |
| title | Emergency endovascular repair of acute descending thoracic aortic dissection |
| title_full | Emergency endovascular repair of acute descending thoracic aortic dissection |
| title_fullStr | Emergency endovascular repair of acute descending thoracic aortic dissection |
| title_full_unstemmed | Emergency endovascular repair of acute descending thoracic aortic dissection |
| title_short | Emergency endovascular repair of acute descending thoracic aortic dissection |
| title_sort | emergency endovascular repair of acute descending thoracic aortic dissection |
| url | https://www.dovepress.com/emergency-endovascular-repair-of-acute-descending-thoracic-aortic-diss-peer-reviewed-article-VHRM |
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