Chronic aortic dissection complicated by disseminated intravascular coagulation: successful treatment with endovascular stent-grafting.
OBJECTIVE
To report endovascular repair of a chronic aortic dissection complicated by disseminated intravascular coagulation (DIC).


METHODS
A 61-year-old man developed DIC associated with a chronic Stanford type B aortic dissection that occurred during cardiac catheterization 12 years earlier. At the current admission, computed tomography showed a partially thrombosed false lumen extending from the aortic arch to the left common iliac artery. On angiography, entry and re-entry tears were identified at the right subclavian and left common iliac arteries, respectively. After stent-graft implantation at the entry and re-entry sites, not only was the false lumen completely thrombosed but the DIC also resolved. The patient is doing well with no complication at 16 months after treatment.


CONCLUSIONS
Endovascular stent-grafting is an acceptable alternative to surgical repair for aortic dissection accompanied by DIC.
Sakamoto
Ichiro
I
Department of Radiology, Nagasaki University School of Medicine, Nagasaki, Japan. ichiro-s@net.nagasaki-u.ac.jp
Matsuyama
Naohiro
N
Fukushima
Aya
A
Hayashi
Hideyuki
H
Nishida
Akifumi
A
Hazama
Shiro
S
Noguchi
Manabu
M
Eishi
Kiyoyuki
K
Hayashi
Kuniaki
K
D000784:Aortic Dissection / Q000150:complications*; D001014:Aortic Aneurysm / Q000150:complications*; D001807:Blood Vessel Prosthesis; D002908:Chronic Disease; D004211:Disseminated Intravascular Coagulation / Q000150:complications* / Q000601:surgery*; D006801:Humans; D012074:Remission Induction; D015607:Stents