A Case of Combined Acute Aortic Dissection and Abdominal Aortic Aneurysm with Hemolysis.
10.4326/jjcvs.31.227
- VernacularTitle:溶血を引き起こした腹部大動脈りゅうに合併した急性大動脈解離の１例
- Author:
Etsuro Suenaga
;
Kazuhisa Rikitake
;
Ryo Shiraishi
;
Tsuyoshi Itoh
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(3):227-229
- CountryJapan
- Language:Japanese
-
Abstract:
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.
