Type A Acute Aortic Dissection Complicated with Rupture of the External Iliac Artery
- VernacularTitle:外腸骨動脈破裂を合併したA型急性大動脈解離
- Author:
Yosuke HARI
1
;
Noritsugu NAITO
1
;
Yuhi NAKAMURA
1
;
Hisaya MORI
1
;
Hisato TAKAGI
1
Author Information
- Keywords: rupture of the external iliac artery; type A acute aortic dissection; intravascular repair
- From:Japanese Journal of Cardiovascular Surgery 2024;53(3):147-150
- CountryJapan
- Language:Japanese
- Abstract: A 67-year-old man suffered sudden chest pain. Computed tomography with contrast medium revealed dissection from the ascending aorta to the bilateral iliac arteries and hematoma around the left external iliac artery. Type A acute aortic dissection complicated with rupture of the left external iliac artery was diagnosed. Urgent endovascular repair (stent-graft implantation) was first performed for the arterial rupture more critical than the aortic dissection. On the next day after satisfactory hemostasis and hemodynamical stabilization, semi-urgent ascending aortic replacement was achieved, and the patient survived. Acute aortic dissection complicated with rupture of the aortic branch was extremely rare, and only 5 cases have been reported in the English literature.
