Multiple Acute Aortic Dissection in a Young Adult
- Author:
Kosai NR
;
Reynu R
;
Abdikarim M
;
Jasman MH
;
Taher MM
;
Idris MA
;
Harunarashid H
- Publication Type:Case Reports
- Keywords:
aortic aneurysm;
aortic dissection;
endovascular procedure;
mortality
- MeSH:
Aortic Aneurysm
- From:Medicine and Health
2014;9(2):143-149
- CountryMalaysia
- Language:English
-
Abstract:
The diagnosis of aortic dissection in a young adult in the absence of atherosclerosis or prior history of trauma is extremely rare. The presence of more than one arterial
dissection site in such a patient is even more unheard of. We highlight a case of spontaneous multiple acute arterial dissections occurring in a 32-year-old male. Stanford B aortic dissection and a separate dissection extending from the bifurcation of the right common iliac artery to the right common femoral artery was noted on computed tomographic angiography (CTA). A small aneurysm of
the right subclavian artery was also noted. A two-stage hybrid procedure involving a combination of open and endovascular surgery was employed. The rarity and lethality of this condition warrants a high index of suspicion for early diagnosis and prompt intervention.
- Full text:P020150521360389828615.pdf
