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Arc of Buhler: A lifesaving anatomic variation. A case report
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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8218005/ https://www.ncbi.nlm.nih.gov/pubmed/34211516 http://dx.doi.org/10.1590/1677-5449.200045 |
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author | Nikolaos, Schizas Vasilios, Patris Niki, Lama Argyriou, Eleftherios Orestis Theodoros, Kratimenos Mihalis, Argiriou |
author_facet | Nikolaos, Schizas Vasilios, Patris Niki, Lama Argyriou, Eleftherios Orestis Theodoros, Kratimenos Mihalis, Argiriou |
author_sort | Nikolaos, Schizas |
collection | PubMed |
description | 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). |
format | Online Article Text |
id | pubmed-8218005 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
record_format | MEDLINE/PubMed |
spelling | pubmed-82180052021-06-30 Arc of Buhler: A lifesaving anatomic variation. A case report Nikolaos, Schizas Vasilios, Patris Niki, Lama Argyriou, Eleftherios Orestis Theodoros, Kratimenos Mihalis, Argiriou J Vasc Bras Case Report 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). Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2020-11-23 /pmc/articles/PMC8218005/ /pubmed/34211516 http://dx.doi.org/10.1590/1677-5449.200045 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Nikolaos, Schizas Vasilios, Patris Niki, Lama Argyriou, Eleftherios Orestis Theodoros, Kratimenos Mihalis, Argiriou Arc of Buhler: A lifesaving anatomic variation. A case report |
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 | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8218005/ https://www.ncbi.nlm.nih.gov/pubmed/34211516 http://dx.doi.org/10.1590/1677-5449.200045 |
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