title: Type B Dissection Resulting in Acute Limb Ischemia in a Patient With a History of EVAR.
abstract: Type B aortic dissection (TBAD) can be complicated due to visceral and limb malperfusion. We present the case of a patient with a TBAD 5 months after endovascular aneurysm repair (EVAR) for an infrarenal aortic aneurysm, which resulted in a right leg acute limb ischemia due to impingement of the EVAR from to the dissection. In the following discussion, we will review the literature and describe our technique for the treatment of this infrequent problem.
authors.affiliation: 1 Division of Vascular Surgery, Department of Surgery, Cooper Medical School of Rowan University, Camden, NJ, USA.
authors.forename: Lalithapriya
authors.initials: L
authors.lastname: Jayakumar
authors.affiliation: 1 Division of Vascular Surgery, Department of Surgery, Cooper Medical School of Rowan University, Camden, NJ, USA.
authors.forename: Joseph V
authors.initials: JV
authors.lastname: Lombardi
authors.affiliation: 1 Division of Vascular Surgery, Department of Surgery, Cooper Medical School of Rowan University, Camden, NJ, USA.
authors.forename: Francis J
authors.initials: FJ
authors.lastname: Caputo
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000009:adverse effects*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome
keywords: AAA; EVAR; acute limb ischemia; type B aortic dissection