Type B Dissection Resulting in Acute Limb Ischemia in a Patient With a History of EVAR

Lalithapriya Jayakumar; Joseph V Lombardi; Francis J Caputo

doi:10.1177/1538574417689983

Type B Dissection Resulting in Acute Limb Ischemia in a Patient With a History of EVAR

Vasc Endovascular Surg. 2017 Feb;51(2):98-102. doi: 10.1177/1538574417689983. Epub 2017 Jan 22.

Authors

Lalithapriya Jayakumar¹, Joseph V Lombardi¹, Francis J Caputo¹

Affiliation

¹ 1 Division of Vascular Surgery, Department of Surgery, Cooper Medical School of Rowan University, Camden, NJ, USA.

PMID: 28110619
DOI: 10.1177/1538574417689983

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.

Keywords: AAA; EVAR; acute limb ischemia; type B aortic dissection.

Publication types

Case Reports
Review

MeSH terms

Acute Disease
Aged
Aortic Aneurysm, Abdominal / surgery*
Aortic Aneurysm, Thoracic / diagnostic imaging
Aortic Aneurysm, Thoracic / etiology*
Aortic Aneurysm, Thoracic / surgery
Aortic Dissection / diagnostic imaging
Aortic Dissection / etiology*
Aortic Dissection / surgery
Aortography / methods
Blood Vessel Prosthesis Implantation / adverse effects*
Computed Tomography Angiography
Endovascular Procedures / adverse effects*
Humans
Ischemia / diagnostic imaging
Ischemia / etiology*
Ischemia / surgery
Lower Extremity / blood supply*
Male
Reoperation
Time Factors
Treatment Outcome