Classic Dissection of Thoracic Aorta Complicated by Ascending Aortic Intramural Hematoma: Promt Diagnosis and Successful Endovascular Repair
We reported a case of 68-year-old man, with a previous history of hypertension. Patient was admitted to our institution for evaluation of a severe, constant, tearing anterior chest pain radiated to the neck with suspicion of acute aortic dissection. A multidetector computed tomography scan of thorax...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/257893 |
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| author | Gediminas Rackauskas Mindaugas Mataciunas Nerijus Misonis Diana Zakarkaite Marijus Gutauskas Valdas Bilkis Algirdas Edvardas Tamosiunas Pranas Serpytis Aleksandras Laucevicius |
| author_facet | Gediminas Rackauskas Mindaugas Mataciunas Nerijus Misonis Diana Zakarkaite Marijus Gutauskas Valdas Bilkis Algirdas Edvardas Tamosiunas Pranas Serpytis Aleksandras Laucevicius |
| author_sort | Gediminas Rackauskas |
| collection | DOAJ |
| description | We reported a case of 68-year-old man, with a previous history of hypertension. Patient was admitted to our institution for evaluation of a severe, constant, tearing anterior chest pain radiated to the neck with suspicion of acute aortic dissection. A multidetector computed tomography scan of thorax and abdomen demonstrated a dissection starting from the middle part of aortic arch and extending downward to the descending aorta till the middle part of the thoracic aorta. The dissection was classified as Stanford A, De Bakey I. Surgical treatment of patient was started with bypass graft from the right common carotid artery to the left common carotid with subsequent revascularization of left subclavian artery. Lower parts of above-mentioned arteries were ligated. At the second stage an emergent prosthetic stent-graft was placed distally from the truncus brachiocephalicus up to the proximal part of the descending aorta. We reported a case report to present diagnostic and possible interventional treatment for patient with acute aortic type A dissection. |
| format | Article |
| id | doaj-art-efd578ede6384e049ce77e2fbec63d98 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-efd578ede6384e049ce77e2fbec63d982025-02-03T01:23:52ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/257893257893Classic Dissection of Thoracic Aorta Complicated by Ascending Aortic Intramural Hematoma: Promt Diagnosis and Successful Endovascular RepairGediminas Rackauskas0Mindaugas Mataciunas1Nerijus Misonis2Diana Zakarkaite3Marijus Gutauskas4Valdas Bilkis5Algirdas Edvardas Tamosiunas6Pranas Serpytis7Aleksandras Laucevicius8Department of Cardiovascular Medicine, Vilnius University Hospital Santariskiu Klinikos, 08661 Vilnius, LithuaniaDepartment of Tomography, Vilnius University Hospital Santariskiu Klinikos, 08661 Vilnius, LithuaniaDepartment of Cardiovascular Medicine, Vilnius University Hospital Santariskiu Klinikos, 08661 Vilnius, LithuaniaDepartment of Cardiovascular Medicine, Vilnius University Hospital Santariskiu Klinikos, 08661 Vilnius, LithuaniaDepartment of Vascular Surgery, Vilnius University Hospital Santariskiu Klinikos, 08661 Vilnius, LithuaniaDepartment of Cardiovascular Medicine, Vilnius University Hospital Santariskiu Klinikos, 08661 Vilnius, LithuaniaDepartment of Tomography, Vilnius University Hospital Santariskiu Klinikos, 08661 Vilnius, LithuaniaDepartment of Cardiovascular Medicine, Vilnius University Hospital Santariskiu Klinikos, 08661 Vilnius, LithuaniaDepartment of Cardiovascular Medicine, Vilnius University Hospital Santariskiu Klinikos, 08661 Vilnius, LithuaniaWe reported a case of 68-year-old man, with a previous history of hypertension. Patient was admitted to our institution for evaluation of a severe, constant, tearing anterior chest pain radiated to the neck with suspicion of acute aortic dissection. A multidetector computed tomography scan of thorax and abdomen demonstrated a dissection starting from the middle part of aortic arch and extending downward to the descending aorta till the middle part of the thoracic aorta. The dissection was classified as Stanford A, De Bakey I. Surgical treatment of patient was started with bypass graft from the right common carotid artery to the left common carotid with subsequent revascularization of left subclavian artery. Lower parts of above-mentioned arteries were ligated. At the second stage an emergent prosthetic stent-graft was placed distally from the truncus brachiocephalicus up to the proximal part of the descending aorta. We reported a case report to present diagnostic and possible interventional treatment for patient with acute aortic type A dissection.http://dx.doi.org/10.1155/2012/257893 |
| spellingShingle | Gediminas Rackauskas Mindaugas Mataciunas Nerijus Misonis Diana Zakarkaite Marijus Gutauskas Valdas Bilkis Algirdas Edvardas Tamosiunas Pranas Serpytis Aleksandras Laucevicius Classic Dissection of Thoracic Aorta Complicated by Ascending Aortic Intramural Hematoma: Promt Diagnosis and Successful Endovascular Repair Case Reports in Medicine |
| title | Classic Dissection of Thoracic Aorta Complicated by Ascending Aortic Intramural Hematoma: Promt Diagnosis and Successful Endovascular Repair |
| title_full | Classic Dissection of Thoracic Aorta Complicated by Ascending Aortic Intramural Hematoma: Promt Diagnosis and Successful Endovascular Repair |
| title_fullStr | Classic Dissection of Thoracic Aorta Complicated by Ascending Aortic Intramural Hematoma: Promt Diagnosis and Successful Endovascular Repair |
| title_full_unstemmed | Classic Dissection of Thoracic Aorta Complicated by Ascending Aortic Intramural Hematoma: Promt Diagnosis and Successful Endovascular Repair |
| title_short | Classic Dissection of Thoracic Aorta Complicated by Ascending Aortic Intramural Hematoma: Promt Diagnosis and Successful Endovascular Repair |
| title_sort | classic dissection of thoracic aorta complicated by ascending aortic intramural hematoma promt diagnosis and successful endovascular repair |
| url | http://dx.doi.org/10.1155/2012/257893 |
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