Key result
Preoperative peritoneal dialysis before TEVAR enables full recovery in acute aortic dissection with renal failure.
Why the study?
Acute aortic dissection Stanford type B complicated with late onset acute renal failure is difficult to diagnose timely and requires thorough treatment planning.
Case Report (n=1)
A patient with Stanford type B acute aortic dissection and acute renal failure successfully recovered after peritoneal dialysis and TEVAR.
Supports feasibility of pre-TEVAR peritoneal dialysis in acute aortic dissection with renal failure; hypothesis-generating and requires prospective validation.
We report a recent case and review some literatures of acute aortic dissection (AAD) Stanford type B complicated with late onset of acute renal failure. The patient underwent preoperational peritoneal dialysis followed by thoracic endovascular aortic repair (TEVAR) and was fully recovered and discharged soon after surgery. We conclude that an AAD case is difficult to achieve a timely diagnosis, but with attention to systemic symptoms and dedication thorough treatment plan, a full recovery and positive prognosis are expected.
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Li et al. (2013) conducted a case report in Acute aortic dissection (Stanford Type B) complicated with acute renal failure (n=1). Preoperational peritoneal dialysis followed by thoracic endovascular aortic repair (TEVAR) was evaluated on Recovery and discharge. Preoperational peritoneal dialysis followed by thoracic endovascular aortic repair (TEVAR) resulted in full recovery and discharge in a patient with acute aortic dissection and acute renal failure.
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