Combined type B aortic dissection and fusiform abdominal aortic aneurysm. Case reports.
Two patients are described with a combined type B aortic dissection and a fusiform abdominal aortic aneurysm, the dissection not involving the aneurysm. In a seventy-year-old man a type B aortic dissection and a large abdominal aneurysm were found. An infrarenal aortic bifurcation graft was inserted. He died fifteen months later of cardiogenic shock. In a sixty-six-year-old man diagnosis of a primary aortoduodenal fistula was made together with a limited type B dissection. A straight aortic interposition graft was inserted. He died eleven months later of the complications of a secondary aortoduodenal fistula. Although combination of aortic dissection and abdominal aneurysm is a rare occurrence, conservative management of the aortic dissection and interposition graft for the abdominal aneurysm was successful as initial treatment in these 2 patients.
Department of Surgery, University Hospital of Antwerp, Edegem, Belgium.
P
P
Van Schil
D
D
De Vries
R
R
Vanmaele
H
H
Demey
D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001012:Aorta, Abdominal; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications; D001807:Blood Vessel Prosthesis; D004378:Duodenal Diseases / Q000150:complications; D005402:Fistula / Q000150:complications; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications; D008297:Male; D014057:Tomography, X-Ray Computed