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Chronic aortic dissection complicated by disseminated intravascular coagulation: successful treatment with

Ichiro Sakamoto1, Naohiro Matsuyama, Aya Fukushima

  • 1Department of Radiology, Nagasaki University School of Medicine, Nagasaki, Japan. ichiro-s@net.nagasaki-u.ac.jp

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
|December 6, 2003
PubMed

Insights

Endovascular stent-grafting successfully treated a chronic aortic dissection complicated by disseminated intravascular coagulation (DIC). This minimally invasive approach resolved the DIC and led to a favorable outcome for the patient.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Endovascular Therapy
  • Hematology

Background:

  • Chronic aortic dissection poses significant risks, including potential complications like disseminated intravascular coagulation (DIC).
  • Stanford type B aortic dissection, particularly when chronic, requires effective management strategies to prevent adverse outcomes.

Observation:

  • A 61-year-old male presented with DIC secondary to a chronic Stanford type B aortic dissection, initially occurring 12 years prior.
  • Imaging revealed a partially thrombosed false lumen from the aortic arch to the left common iliac artery, with identified entry and re-entry tears.

Findings:

  • Endovascular stent-graft implantation at the identified entry and re-entry sites resulted in complete thrombosis of the false lumen.
  • Resolution of disseminated intravascular coagulation (DIC) was observed following the endovascular repair.

Implications:

  • Endovascular stent-grafting offers a viable alternative to open surgical repair for aortic dissections complicated by DIC.
  • This case highlights the efficacy of endovascular techniques in managing complex aortic pathologies with associated coagulopathies.
Abstract

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