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Endovascular repair of type B aortic dissection associated with coarctation: a case report
Zhen Liang1, Haiyang Chang2, Guimei Shao3,4
1Department of Intervention Medicine, The First People's Hospital of Xining, Xining, Qinghai, China.
Background:
Type B aortic dissection associated with aortic coarctation is an extremely rare condition. We present a case that was treated successfully by endovascular repair.
Case Presentation:
A 46-year-old man was admitted to our hospital for severe chest pain radiating to his back. Contrast-enhanced computed tomography angiography revealed type B aortic dissection associated with coarctation at the distal end of the aortic arch. Combined treatment with angioplasty and endovascular stent-graft deployment was performed successfully. Three years later, contrast-enhanced computed tomography angiography showed that the coarctation had disappeared, with the residual dissection remaining asymptomatic.
Conclusion:
For type B aortic dissection associated with aortic coarctation, endovascular repair seems to be an alternative to open surgery, especially for highly selected patients.
