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Acute descending aortic dissection associated with coarctation in adult
Jae Seung Shin1, Kyung Sun, Wan Joo Shim
1Department of Thoracic and Cardiovascular Surgery, Korea University Medical College, 126-1 Anam-dong 5-ga, Sungbuk-gu, Seoul 136-705, Korea.
Insights
Aortic coarctation dissection is a rare condition. Surgical repair involving graft interposition can effectively treat this complex aortic dissection.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Aortic Diseases
Background:
- Congenital aortic coarctation presents unique challenges in managing aortic pathologies.
- Acute aortic dissection is a life-threatening condition requiring prompt diagnosis and intervention.
Observation:
- A 44-year-old male with pre-existing congenital aortic coarctation developed an acute aortic dissection.
- The dissection originated proximal to the coarctation and extended distally to involve both iliac arteries.
Findings:
- Surgical intervention included resection of the affected aortic segment, encompassing the coarctation.
- Graft interposition was utilized to reconstruct the aorta following resection.
Implications:
- This case highlights the complex management of aortic dissection in the presence of congenital aortic coarctation.
- Successful surgical repair demonstrates the feasibility of graft interposition for extensive aortic dissections in this patient population.
Abstract:
A 44-year-old man with congenital aortic coarctation experienced acute dissection that crossed the coarctation and extended to both iliac arteries. The primary entry of the dissection was proximal to the coarctation segment, just below the origin of the left subclavian artery. Surgical procedures involved resection of the diseased segment including the coarctation, and graft interposition.