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Updated: Mar 22, 2026
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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
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[Systemic Lupus Erithematosus Accompanied with Acute Type A and Chronic Type B Aortic Dissection]
Akihiko Sasaki1, Takuma Mikami, Hitoki Hashiguchi
1Department of Cardiovascular Surgery, Sunagawa Medical Center, Sunagawa, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|April 15, 2016
Summary
This case study details a rare instance of a patient with systemic lupus erythematosus (SLE) experiencing both acute type A and chronic type B aortic dissection. A two-stage surgical approach successfully treated both conditions without complications.
Area of Science:
- Cardiovascular Surgery
- Rheumatology
- Vascular Medicine
Background:
- Systemic lupus erythematosus (SLE) is an autoimmune disease associated with increased cardiovascular risks.
- Long-term steroid therapy, often used for SLE, can have adverse effects on vascular health.
- Aortic dissection is a serious condition involving a tear in the aorta's inner layer.
Observation:
- A 62-year-old female with a 23-year history of SLE and long-term steroid use presented with fatigue and sore throat.
- Computed tomography revealed acute type A aortic dissection with pericardial effusion and a pre-existing chronic type B aortic dissection.
- Blood tests indicated inflammation and mild disseminated intravascular coagulopathy.
Findings:
- A two-stage surgical intervention was safely performed: ascending aortic graft replacement for type A dissection and thoracic endovascular aortic repair for type B dissection.
- The patient experienced no postoperative complications, such as cerebral infarction or paraplegia.
- The co-occurrence of acute type A and chronic type B aortic dissection in an SLE patient was attributed to prolonged steroid therapy.
Implications:
- This case highlights a rare complication of SLE and its treatment, emphasizing the potential vascular impact of long-term steroid use.
- A combined surgical and endovascular approach can be effective in managing complex, multi-level aortic dissections.
- Continuous medical follow-up is crucial to monitor for residual aneurysms and manage long-term outcomes in such patients.
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