Key result
A 60-year-old female with complicated acute type B aortic dissection was successfully treated with left carotid-subclavian bypass and thoracic endovascular aortic repair.
Case Report (n=1)
This case highlights the critical need for high clinical suspicion and appropriate imaging to differentiate acute aortic dissection from acute coronary syndrome, and demonstrates successful endovascular repair for complicated Type B dissection.
Hybrid repair may be viable in complicated acute type B aortic dissection; leaves open need for confirmatory trials.
A 65 year lady with chest and back pain was referred to our hospital with suspected case of acute coronary syndrome. A computed tomography (CT) aortic angiogram showed dissection of abdominal and thoracic aorta. Patient was initially treated by drugs for controlling heart rate and blood pressure with analgesics but due to progression of disease and involvement of left subclavian artery ostium referred for surgical intervention. She underwent left carotid-subclavian bypass and TEVAR (Thoracic endovascular aortic repair) with good outcome. The present case is a good demonstration revealing that in absence of clinical suspicion and diagnostic imaging, acute aortic dissection represents a diagnostic dilemma which requires immediate action.Anwer Khan Modern Medical College Journal Vol. 6, No. 1: January 2015, Pages 46-49
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Chowdhury et al. (2015) conducted a case report in Acute Type B Aortic Dissection (n=1). Left carotid-subclavian bypass and TEVAR was evaluated on Clinical recovery. A 60-year-old female with complicated acute type B aortic dissection was successfully treated with left carotid-subclavian bypass and thoracic endovascular aortic repair.
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