A Case of Combined Acute Aortic
Dissection and Abdominal Aortic Aneurysm with Hemolysis |
Etsuro Suenaga |
Kazuhisa Rikitake |
Ryo Shiraishi |
Tsuyoshi Itoh |
|
|
(Department of Thoracic and Cardiovascular Surgery,
Saga Medical School, Saga, Japan)
|
Concomitant occurrence of acute
aortic dissection and atherosclerotic aneurysm is rare. In such
a circumstance, rupture of the existing aneurysm is the more
likely scenario. In general, atherosclerotic plaque frequently
serves to terminate the dissection process. A 65-year-old man
with an abdominal aortic aneurysm was admitted due to severe
back pain. Emergency CT showed acute aortic dissection (Stanford
B) with a partially thrombosed pseudo-lumen and fusiform abdominal
aortic aneurysm. Hemolysis occurred due to compression of the
true lumen by the thrombosed pseudo-lumen. Emergency abdominal
aortic graft replacement was performed successfully.
Jpn. J. Cardiovasc. Surg. 31: 227-229(2002) |
|