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Combined type B aortic dissection and fusiform abdominal aortic aneurysm. Case reports
P Van Schil1, D De Vries, R Vanmaele
1Department of Surgery, University Hospital of Antwerp, Edegem, Belgium.
Angiology
|July 1, 1994
Summary
This study reports on two rare cases of combined aortic dissection and abdominal aortic aneurysm. Initial treatment involving aortic grafts was successful, but both patients later died from complications.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Aortic Diseases
Background:
- Aortic dissection and abdominal aortic aneurysms are serious vascular conditions.
- Combined occurrence is rare, posing diagnostic and therapeutic challenges.
Observation:
- Two patients presented with Type B aortic dissection not involving a concurrent fusiform abdominal aortic aneurysm.
- One patient had a large infrarenal abdominal aortic aneurysm; the other had a primary aortoduodenal fistula with limited Type B dissection.
Findings:
- Both patients underwent initial surgical repair with aortic grafts (bifurcation and interposition, respectively).
- Despite initial success, one patient died of cardiogenic shock, and the other died from secondary aortoduodenal fistula complications.
Implications:
- Management of combined aortic dissection and aneurysm requires careful consideration.
- While initial surgical intervention can be successful, long-term outcomes remain a concern due to potential complications.