Vasc Spec Int.  2015 Jun;31(2):58-61. 10.5758/vsi.2015.31.2.58.

Successful Endovascular Stent-Graft Repair for Complicated Type B Aortic Dissection Developed in a Patient with Polycystic Kidney Disease

• Jung CS
• Park BW
• Bang DW
• Jang WH
• Kim HS
• Oh JH

• KMID: 2049887
• DOI: http://doi.org/10.5758/vsi.2015.31.2.58

Abstract

Polycystic kidney disease (PCKD) is rarely associated with aortic dissection (AD), which is a life-threatening disease. Although endovascular stent-graft repair tends to show better outcomes than conventional therapies in complicated type B AD (TBAD), successful endovascular intervention of TBAD with malperfusion in a patient with PCKD has not been reported. This case shows a 37-year-old male who had sudden onset of sharply stabbing epigastric pain with severe hypertension, who was diagnosed with TBAD and PCKD by a computed tomography and initially underwent medical treatment. Four days after discharge, he was rehospitalized with left leg pain and paresthesia due to left lower leg malperfusion. Thoracic endovascular stent-graft repair covering the primary tear site of dissection was performed successfully, leading to a decrease in false lumen and improvement of symptoms. We report the case of complicated TBAD in a patient with PCKD treated with endovascular stent-graft repair.

Keyword

Aortic diseases; Polycystic kidney diseases; Endovascular procedures

MeSH Terms

Adult
Aortic Diseases
Endovascular Procedures
Humans
Hypertension
Leg
Male
Paresthesia
Polycystic Kidney Diseases*