A case of TEVAR for acute aortic dissection after MICS AVR and retroperitoneal tumor resection.
Masahiro TsutsuiMasahiko NaritaRyohei UshiodaYuta KikuchiTomonori ShirasakaNatsuya IshikawaHiroyuki KamiyaPublished in: Journal of surgical case reports (2021)
If multiple treatments are performed within a short time, when something occurs, it is difficult to identify its cause. Here, we present a case of thoracic endovascular aortic repair (TEVAR) for acute aortic dissection (AAD) after multiple treatments. A 76-year-old woman underwent minimally invasive aortic valve replacement, transcatheter lumbar artery embolism and retroperitoneal tumor resection within a short period of time. After a series of procedures, the patient experienced sudden back pain, and computed tomography revealed an AAD Type B. Her back pain persisted; therefore, we performed TEVAR, and the post-operative course was uneventful. In this case, the relationship between AAD and treatment before AAD was unclear, but AAD should considered when performing treatments that may cause AAD.
Keyphrases
- aortic dissection
- minimally invasive
- aortic valve replacement
- computed tomography
- robot assisted
- transcatheter aortic valve implantation
- aortic valve
- aortic stenosis
- spinal cord
- magnetic resonance imaging
- case report
- magnetic resonance
- spinal cord injury
- intensive care unit
- coronary artery disease
- atrial fibrillation
- ejection fraction
- dual energy
- image quality