Aortic Dissection Complicated with Lower Extremity and Renal Ischemia Treated by Percutaneous Stent Insertion.
10.4070/kcj.2001.31.12.1330
- Author:
Hee Doo KYUNG
1
;
Deok Kyu CHO
;
Young Guk KO
;
Young Won YOON
;
Sung Kee RYU
;
Bon Kwon KOO
;
Donghoon CHOI
;
Yangsoo JANG
;
Won Heum SHIM
;
Seung Yun CHO
Author Information
1. Cardiology Division, Yonsei Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea. cdhlyj@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Aorta;
Dissection;
Angioplasty;
Stents;
Renal artery obstruction
- MeSH:
Acute Pain;
Angiography;
Angioplasty;
Aorta;
Aorta, Thoracic;
Blood Pressure;
Female;
Follow-Up Studies;
Humans;
Ischemia*;
Lower Extremity*;
Middle Aged;
Renal Artery;
Renal Artery Obstruction;
Stents*;
Tomography, X-Ray Computed
- From:Korean Circulation Journal
2001;31(12):1330-1335
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 62-year-old woman was admitted due to acute pain in the back and the right lower extremity. CT and angiography showed a chronic dissection of the ascending aorta and a newly developed dissection of the descending aorta complicated with ischemia of the left renal artery and right lower extremity. Therefore, a Wall stent was inserted percutaneously at the descending thoracic aorta and the stenotic left renal artery was opened by percutaneous transluminal renal angioplasty with a Mac (4.0 x 22 mm, Amg, Korea) stent. Thereafter, renal function was normalized and the blood pressure was better controlled at discharge. A follow up CT scan 3 months after the procedure showed patent true lumen of the descending thoracic aorta and left renal artery.
