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Volume: 3 | Issue: 3 | Published: Oct 17, 2019 | Pages: 130 - 131 | DOI: 10.24911/ejmcr/173-1562780749

Extensive type B aortic dissection involving femoral arteries: clinical image

Authors: Jose Eduardo Mateus , Gabriel Atanasio , Joao Valente

Authors

Jose Eduardo Mateus

Internal Medicine Department, Centro Hospitalar e Universit rio de Coimbra, Praceta Prof. Mota Pinto, 3000 075 Coimbra, Portugal

ORCID

Gabriel Atanasio

Internal Medicine Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal

Joao Valente

Internal Medicine Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal

Publication History

Received: July 10, 2019

Accepted: September 27, 2019

Published: October 17, 2019

Abstract

Background: Type B aortic can be a life-threatening emergency, with a 10-year survival rate ranging from 30% to 60%. Case Presentation: A 58-year-old man with a history of hypertension presented with intense abdominal pain lasting for 2 hours. Computed tomographic angiography of the thorax and abdomen revealed extensive type B aortic dissection. Despite intensive medical therapy, blood pressure remained uncontrolled, motivating a thoracic endovascular aortic repair, with clinical improvement. Conclusion: History of arterial hypertension and/or the use of drugs followed by severe chest or back pain without evidence of myocardial ischemia is highly suggestive of acute aortic dissection. The goals of treatment are to control pain and maintain organ perfusion. Patients with type B aortic dissection tend to be older and are generally managed medically. However, recent papers have shown an increasing interest to consider thoracic endovascular aortic repair in patients with acute uncomplicated disease in order to prevent later complications.

Keywords: Aortic dissection, thoracic endovascular aortic repair, type B dissection, case report, green

Pubmed Style

Jose Eduardo Mateus, Gabriel Atanasio, Joao Valente. Extensive type B aortic dissection involving femoral arteries: clinical image. EJMCR. 2019; 17 (October 2019): 130-131. doi:10.24911/ejmcr/173-1562780749

Web Style

Jose Eduardo Mateus, Gabriel Atanasio, Joao Valente. Extensive type B aortic dissection involving femoral arteries: clinical image. https://ejmcr.com/articles/1480 [Access: February 05, 2025]. doi:10.24911/ejmcr/173-1562780749

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Jose Eduardo Mateus, Gabriel Atanasio, Joao Valente. Extensive type B aortic dissection involving femoral arteries: clinical image. EJMCR. (2019), [cited February 05, 2025]; 17 (October 2019): 130-131. doi:10.24911/ejmcr/173-1562780749

Harvard Style

Jose Eduardo Mateus, Gabriel Atanasio, Joao Valente (2019) Extensive type B aortic dissection involving femoral arteries: clinical image. EJMCR, 17 (October 2019): 130-131. doi:10.24911/ejmcr/173-1562780749

Chicago Style

Jose Eduardo Mateus, Gabriel Atanasio, Joao Valente. "Extensive type B aortic dissection involving femoral arteries: clinical image." 17 (2019), 130-131. doi:10.24911/ejmcr/173-1562780749

MLA (The Modern Language Association) Style

Jose Eduardo Mateus, Gabriel Atanasio, Joao Valente. "Extensive type B aortic dissection involving femoral arteries: clinical image." 17.October 2019 (2019), 130-131. Print. doi:10.24911/ejmcr/173-1562780749

APA (American Psychological Association) Style

Jose Eduardo Mateus, Gabriel Atanasio, Joao Valente (2019) Extensive type B aortic dissection involving femoral arteries: clinical image. , 17 (October 2019), 130-131. doi:10.24911/ejmcr/173-1562780749