title: Chronic aortic dissection complicated by disseminated intravascular coagulation: successful treatment with endovascular stent-grafting.
abstract: 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.
authors.affiliation: Department of Radiology, Nagasaki University School of Medicine, Nagasaki, Japan. ichiro-s@net.nagasaki-u.ac.jp
authors.forename: Ichiro
authors.initials: I
authors.lastname: Sakamoto
authors.forename: Naohiro
authors.initials: N
authors.lastname: Matsuyama
authors.forename: Aya
authors.initials: A
authors.lastname: Fukushima
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Hayashi
authors.forename: Akifumi
authors.initials: A
authors.lastname: Nishida
authors.forename: Shiro
authors.initials: S
authors.lastname: Hazama
authors.forename: Manabu
authors.initials: M
authors.lastname: Noguchi
authors.forename: Kiyoyuki
authors.initials: K
authors.lastname: Eishi
authors.forename: Kuniaki
authors.initials: K
authors.lastname: Hayashi
mesh_terms: 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