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Acute dissection of the abdominal aorta
A Marui1, T Mochizuki, N Mitsui
1Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital, Hiroshima, Japan.
The Journal of Cardiovascular Surgery
|December 22, 1999
Summary
A 64-year-old man with primary abdominal aortic dissection experienced a satisfactory recovery after surgical repair. Surgical intervention is recommended for limited infrarenal dissections, with enhanced CT aiding diagnosis and follow-up.
Area of Science:
- Cardiovascular Surgery
- Vascular Medicine
- Diagnostic Imaging
Background:
- Primary dissection of the abdominal aorta is a rare but serious condition.
- Prompt diagnosis and intervention are crucial for patient outcomes.
Observation:
- A 64-year-old male presented with acute lower abdominal pain and lumbago.
- Initial diagnosis was primary dissection of the abdominal aorta.
Findings:
- The patient underwent successful surgical repair using entry closure and aneurysmal wall plication.
- The post-operative course was satisfactory, indicating successful treatment.
Implications:
- Surgical intervention is advised for infrarenal abdominal aortic dissections with limited extent and accessible anatomy.
- Enhanced computed tomography (CT) plays a vital role in diagnosing and monitoring abdominal aortic dissection.