Successful Endovascular Stent-Graft Repair for Complicated Type B Aortic Dissection Developed in a Patient with Polycystic Kidney Disease.
- Author:
Chan Sung JUNG
1
;
Byoung Won PARK
;
Duk Won BANG
;
Won Ho JANG
;
Hyo Shik KIM
;
Ji Hyun OH
Author Information
- Publication Type:Case Report
- Keywords: Aortic diseases; Polycystic kidney diseases; Endovascular procedures
- MeSH: Adult; Aortic Diseases; Endovascular Procedures; Humans; Hypertension; Leg; Male; Paresthesia; Polycystic Kidney Diseases*
- From:Vascular Specialist International 2015;31(2):58-61
- CountryRepublic of Korea
- Language:English
- Abstract: Polycystic kidney disease (PCKD) is rarely associated with aortic dissection (AD), which is a life-threatening disease. Although endovascular stent-graft repair tends to show better outcomes than conventional therapies in complicated type B AD (TBAD), successful endovascular intervention of TBAD with malperfusion in a patient with PCKD has not been reported. This case shows a 37-year-old male who had sudden onset of sharply stabbing epigastric pain with severe hypertension, who was diagnosed with TBAD and PCKD by a computed tomography and initially underwent medical treatment. Four days after discharge, he was rehospitalized with left leg pain and paresthesia due to left lower leg malperfusion. Thoracic endovascular stent-graft repair covering the primary tear site of dissection was performed successfully, leading to a decrease in false lumen and improvement of symptoms. We report the case of complicated TBAD in a patient with PCKD treated with endovascular stent-graft repair.
