Complicated thoraco-abdominal aortic dissection presenting with lower limb ischemia in a patient with bovine arch and arteria lusoria.

Details

Serval ID
serval:BIB_1904382BB8BF
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Complicated thoraco-abdominal aortic dissection presenting with lower limb ischemia in a patient with bovine arch and arteria lusoria.
Journal
European review for medical and pharmacological sciences
Author(s)
Joliat G.R., Dubuis C., Déglise S.
ISSN
2284-0729 (Electronic)
ISSN-L
1128-3602
Publication state
Published
Issued date
01/2017
Peer-reviewed
Oui
Volume
21
Number
2
Pages
310-312
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
We report the case of a 58-year-old man who presented with thoraco-abdominal pain and right lower limb ischemia due to type B aortic dissection. Moreover, the patient was discovered to have several concomitant aortic arch anomalies (bovine arch, arteria lusoria, and left vertebral artery arising from the aortic arch). Taking into account this complex anatomy, emergent femoral exploration with fenestration and thrombectomy was performed. The blood flow to the right lower limb was restored. A few days later the aortic dissection spread proximally, and the aortic arch dilatation enlarged. Before total arch replacement could be performed, the aorta ruptured and the patient unfortunately died.

Keywords
Aneurysm, Dissecting/physiopathology, Aorta, Thoracic/pathology, Aortic Aneurysm, Thoracic/physiopathology, Humans, Ischemia/physiopathology, Leg/physiopathology, Male, Middle Aged
Pubmed
Web of science
Create date
14/02/2017 10:58
Last modification date
09/12/2020 15:34
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