Abdominal aortic dissection apropos of a case

Authors

  • Kendry Janero Moliner
  • Luis M. de la Torre Fonseca Universidad de Ciencias Medicas de la Habana Hospital Clínico Quirúrgico Docente Manuel Fajardo
  • Alejandro Hernández Seara
  • Zaida Jaime Cabrera
  • Mª del Carmen Hondares Guzmán

Abstract

Abdominal aortic dissection has a low incidence. It may happen when a small tear or rupture occurs in the tunica intima, dividing the wall layers and forming a false channel, or lumen with blood flow inside. We present the case of a 67-year-old man with a history of high blood pressure, with no regular treatment, who sought care at the Hospital Salvador Allende (Havana, Cuba) as he presented with a week-long abdominal pain radiating to the left iliac fossa and back, which was not relieved by the usual analgesics. An abdominal ultrasound was performed which found an aneurysmal dilatation of the abdominal aorta, with signs of dissection towards the right iliac artery; therefore, computed tomography angiography (CTA) was performed and the diagnosis was confirmed. He underwent aorto-iliac bypass with abdominal-aortic-fenestration and end-to-end anastomosis in both iliac arteries.

Downloads

Download data is not yet available.

Author Biography

Luis M. de la Torre Fonseca, Universidad de Ciencias Medicas de la Habana Hospital Clínico Quirúrgico Docente Manuel Fajardo

Especialista de I Grado en Cardiología. Unidad de Cuidados Intensivos. Hospital Universitario Manuel Fajardo.

References

1. Farber A, Wagner WH, Cossman DV, Cohen JL, Walsh DB, Fillinger MF, et al. Isolated dissection of the abdominal aorta: clinical presentation and therapeutic options. J Vasc Surg. 2002;36(2):205-10. DOI: https://doi.org/10.1067/mva.2002.125028

2. Mészáros I, Mórocz J, Szlávi J, Schmidt J, Tornóci L, Nagy L, et al. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117(5):1271-8. DOI: https://doi.org/10.1378/chest.117.5.1271

3. Lindsay J, Hurst JW. Clinical features and prognosis in dissecting aneurysm of the aorta. A re-appraisal. Circulation. 1967;35(5):880-8. DOI: https://doi.org/10.1161/01.cir.35.5.880

4. DeBakey ME, Henly WS, Cooley DA, Morris GC, Crawford ES, Beall AC. Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg. 1965;49:130-49.

5. Daily PO, Trueblood HW, Stinson EB, Wuerflein RD, Shumway NE. Management of acute aortic dissections. Ann Thorac Surg. 1970;10(3):237-47. DOI: https://doi.org/10.1016/s0003-4975(10)65594-4

6. Gore I. Pathogenesis of dissecting aneurysm of the aorta. AMA Arch Pathol. 1952;53(2):142-53.

7. Zink JN, Maness MM, Bogey WM, Stoner MC. Spontaneous isolated abdominal aortic dissection involving the celiac, superior mesenteric, inferior mesenteric, right renal, left iliac, and right superficial femoral arteries. J Vasc Surg. 2015;61(6):1605. DOI: https://doi.org/10.1016/j.jvs.2014.04.009

8. Graham D, Alexander JJ, Franceschi D, Rashad F. The management of localized abdominal aortic dissections. J Vasc Surg. 1988;8(5):582-91.

9. Cambria RP, Morse S, August D, Gusberg R. Acute dissection originating in the abdominal aorta. J Vasc Surg. 1987;5(3):495-7.

10. Handa N, Nishina T, Nishio I, Asano M, Noda K, Ueno Y. Endovascular stent-graft repair for spontaneous dissection of infra-renal abdominal aorta. Ann Vasc Surg. 2010;24(7):955.e1-4. DOI: https://doi.org/10.1016/j.avsg.2010.03.033

11. Jonker FH, Schlösser FJ, Moll FL, Muhs BE. Dissection of the abdominal aorta. Current evidence and implications for treatment strategies: a review and meta-analysis of 92 patients. J Endovasc Ther. 2009;16(1):71-80. DOI: https://doi.org/10.1583/08-2601.1

12. Böckler D, Bianchini Massoni C, Geisbüsch P, Hakimi M, von Tengg-Kobligk H, Hyhlik-Dürr A. Single-center experience in the management of spontaneous isolated abdominal aortic dissection. Langenbecks Arch Surg. 2016;401(2):249-54. DOI: https://doi.org/10.1007/s00423-015-1335-6

13. Faries CM, Tadros RO, Lajos PS, Vouyouka AG, Faries PL, Marin ML. Contemporary management of isolated chronic infrarenal abdominal aortic dissections. J Vasc Surg. 2016;64(5):1246-50. DOI: https://doi.org/10.1016/j.jvs.2016.04.030

Downloads

Published

2021-01-16

How to Cite

1.
Janero Moliner K, de la Torre Fonseca LM, Hernández Seara A, Jaime Cabrera Z, Hondares Guzmán M del C. Abdominal aortic dissection apropos of a case. CorSalud [Internet]. 2021 Jan. 16 [cited 2025 Jul. 31];13(1):100-3. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/625

Issue

Vol. 13 No. 1 (2021)

Section

CASE REPORTS

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
    2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.