Type B Acute Aortic Dissection as a Perioperative Complication after an Endovascular Abdominal Aortic Repair

Type B aortic dissection (TBAD) is a rare but catastrophic complication of endovascular aneurysm repair (EVAR). We report two cases of TBAD occurring in the perioperative period of EVAR. The intraoperative and postoperative courses were unremarkable. Routine postoperative computed tomography angiogr...

Descripción completa

Detalles Bibliográficos
Autores principales: Natsume, Kayoko, Shintani, Tsunehiro, Hayahi, Masanori, Ohkura, Kazuhiro, Hasegawa, Yuto, Ariya, Takumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991700/
https://www.ncbi.nlm.nih.gov/pubmed/33786108
http://dx.doi.org/10.3400/avd.cr.20-00107
_version_ 1783669222639927296
author Natsume, Kayoko
Shintani, Tsunehiro
Hayahi, Masanori
Ohkura, Kazuhiro
Hasegawa, Yuto
Ariya, Takumi
author_facet Natsume, Kayoko
Shintani, Tsunehiro
Hayahi, Masanori
Ohkura, Kazuhiro
Hasegawa, Yuto
Ariya, Takumi
author_sort Natsume, Kayoko
collection PubMed
description Type B aortic dissection (TBAD) is a rare but catastrophic complication of endovascular aneurysm repair (EVAR). We report two cases of TBAD occurring in the perioperative period of EVAR. The intraoperative and postoperative courses were unremarkable. Routine postoperative computed tomography angiography (CTA) revealed TBAD. Conservative treatment was successful, and no adverse aortic events occurred. TBAD that occurs in the perioperative period is likely to be iatrogenic in origin, uncomplicated, and managed with medical therapy: its prognosis is better than when the condition develops in the midterm postoperative period.
format Online
Article
Text
id pubmed-7991700
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
record_format MEDLINE/PubMed
spelling pubmed-79917002021-03-29 Type B Acute Aortic Dissection as a Perioperative Complication after an Endovascular Abdominal Aortic Repair Natsume, Kayoko Shintani, Tsunehiro Hayahi, Masanori Ohkura, Kazuhiro Hasegawa, Yuto Ariya, Takumi Ann Vasc Dis Case Report Type B aortic dissection (TBAD) is a rare but catastrophic complication of endovascular aneurysm repair (EVAR). We report two cases of TBAD occurring in the perioperative period of EVAR. The intraoperative and postoperative courses were unremarkable. Routine postoperative computed tomography angiography (CTA) revealed TBAD. Conservative treatment was successful, and no adverse aortic events occurred. TBAD that occurs in the perioperative period is likely to be iatrogenic in origin, uncomplicated, and managed with medical therapy: its prognosis is better than when the condition develops in the midterm postoperative period. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021-03-25 /pmc/articles/PMC7991700/ /pubmed/33786108 http://dx.doi.org/10.3400/avd.cr.20-00107 Text en © 2021 The Editorial Committee of Annals of Vascular Diseases. http://creativecommons.org/licenses/by/2.5/ This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Natsume, Kayoko
Shintani, Tsunehiro
Hayahi, Masanori
Ohkura, Kazuhiro
Hasegawa, Yuto
Ariya, Takumi
Type B Acute Aortic Dissection as a Perioperative Complication after an Endovascular Abdominal Aortic Repair
title Type B Acute Aortic Dissection as a Perioperative Complication after an Endovascular Abdominal Aortic Repair
title_full Type B Acute Aortic Dissection as a Perioperative Complication after an Endovascular Abdominal Aortic Repair
title_fullStr Type B Acute Aortic Dissection as a Perioperative Complication after an Endovascular Abdominal Aortic Repair
title_full_unstemmed Type B Acute Aortic Dissection as a Perioperative Complication after an Endovascular Abdominal Aortic Repair
title_short Type B Acute Aortic Dissection as a Perioperative Complication after an Endovascular Abdominal Aortic Repair
title_sort type b acute aortic dissection as a perioperative complication after an endovascular abdominal aortic repair
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991700/
https://www.ncbi.nlm.nih.gov/pubmed/33786108
http://dx.doi.org/10.3400/avd.cr.20-00107
work_keys_str_mv AT natsumekayoko typebacuteaorticdissectionasaperioperativecomplicationafteranendovascularabdominalaorticrepair
AT shintanitsunehiro typebacuteaorticdissectionasaperioperativecomplicationafteranendovascularabdominalaorticrepair
AT hayahimasanori typebacuteaorticdissectionasaperioperativecomplicationafteranendovascularabdominalaorticrepair
AT ohkurakazuhiro typebacuteaorticdissectionasaperioperativecomplicationafteranendovascularabdominalaorticrepair
AT hasegawayuto typebacuteaorticdissectionasaperioperativecomplicationafteranendovascularabdominalaorticrepair
AT ariyatakumi typebacuteaorticdissectionasaperioperativecomplicationafteranendovascularabdominalaorticrepair

Ejemplares similares