title: Type B Aortic Dissection with Abdominal Aortic Aneurysm Rupture 1 Year after Endovascular Repair of Abdominal Aortic Aneurysm.
abstract: We report a patient who developed a type B aortic dissection and ruptured his aneurysmal sac 1 year after endovascular abdominal aortic aneurysm repair (EVAR), despite standard follow-up. This 79-year-old man was presented to emergency room with acute abdominal pain and an acute lower limb ischemia. Computed tomography scan showed an acute type B aortic dissection feeding the aneurysmal sac of the EVAR. The aneurysm rupture occurred during imaging. Type B aortic dissection is a rare cause of aneurysmal rupture after EVAR. The first postoperative computed tomography scan should maybe include the arch and the descending thoracic aorta to rule out an iatrogenic dissection after EVAR.
authors.affiliation: CHU Clermont-Ferrand, Department of Vascular Surgery, Hopital G Montpied, Clermont-Ferrand F-63003, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Daniel
authors.affiliation: CHU Clermont-Ferrand, Department of Vascular Surgery, Hopital G Montpied, Clermont-Ferrand F-63003, France; Université Jean Monnet-Saint-Etienne, Groupe de Recherche sur la Thrombose, Saint-Etienne F-42023, France.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Ben Ahmed
authors.affiliation: CHU Clermont-Ferrand, Department of Vascular Surgery, Hopital G Montpied, Clermont-Ferrand F-63003, France.
authors.forename: Edouard
authors.initials: E
authors.lastname: Warein
authors.affiliation: CHU Clermont-Ferrand, Department of Radiology, Hopital G Montpied, Clermont-Ferrand F-63003, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Gallon
authors.affiliation: CHU Clermont-Ferrand, Department of Vascular Surgery, Hopital G Montpied, Clermont-Ferrand F-63003, France; Université Jean Monnet-Saint-Etienne, Groupe de Recherche sur la Thrombose, Saint-Etienne F-42023, France; Clermont Université, Université Clermont 1, Faculté de Médecine Clermont-Ferrand F-63003, France. Electronic address: erosset@chu-clermontferrand.fr.
authors.forename: Eugenio
authors.initials: E
authors.lastname: Rosset
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D000072226:Computed Tomography Angiography; D004630:Emergencies; D057510:Endovascular Procedures / Q000009:adverse effects*; D017809:Fatal Outcome; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome