title: Successful Endovascular Stent-Graft Repair for Complicated Type B Aortic Dissection Developed in a Patient with Polycystic Kidney Disease.
abstract: Polycystic kidney disease (PCKD) is rarely associated with aortic dissection (AD), which is a life-threatening disease. Although endovascular stent-graft repair tends to show better outcomes than conventional therapies in complicated type B AD (TBAD), successful endovascular intervention of TBAD with malperfusion in a patient with PCKD has not been reported. This case shows a 37-year-old male who had sudden onset of sharply stabbing epigastric pain with severe hypertension, who was diagnosed with TBAD and PCKD by a computed tomography and initially underwent medical treatment. Four days after discharge, he was rehospitalized with left leg pain and paresthesia due to left lower leg malperfusion. Thoracic endovascular stent-graft repair covering the primary tear site of dissection was performed successfully, leading to a decrease in false lumen and improvement of symptoms. We report the case of complicated TBAD in a patient with PCKD treated with endovascular stent-graft repair.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
authors.forename: Chan Sung
authors.initials: CS
authors.lastname: Jung
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
authors.forename: Byoung-Won
authors.initials: BW
authors.lastname: Park
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
authors.forename: Duk Won
authors.initials: DW
authors.lastname: Bang
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Soonchunhyang University Hospital, Seoul, Korea.
authors.forename: Won Ho
authors.initials: WH
authors.lastname: Jang
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
authors.forename: Hyo Shik
authors.initials: HS
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
authors.forename: Ji Hyun
authors.initials: JH
authors.lastname: Oh
keywords: Aortic diseases; Endovascular procedures; Polycystic kidney diseases