Case Report
Volume: 4 | Issue: 4 | Published: Apr 04, 2020 | Pages: 141 - 144 | DOI: 10.24911/ejmcr/173-1582191702
Uterine artery embolization for symptomatic fibroid disease in a patient with Stanford type B aortic dissection: a case report
Authors: Eleanor Danek , Warren Clements
Article Info
Authors
Eleanor Danek
Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia
Warren Clements
Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia
Publication History
Received: February 20, 2020
Revised: March 08, 2020
Accepted: March 24, 2020
Published: April 04, 2020
Abstract
Background: Patients with connective tissue disease are a potentially challenging population to treat via an endovascular approach. Treatments carry a risk of new or further dissection, including at the arteriotomy, and challenges navigating true or false lumen. Case presentation: The authors present a case of a patient with a recent aortic dissection in the setting of presumed connective tissue disease, with coincidental symptomatic uterine fibroids, successfully treated via uterine artery embolization. Conclusion: To the authors knowledge, this case report is the first to describe successful uterine artery embolization in a patient with existing type b dissection. With proper technique and preparation, uterine artery embolization and other endovascular treatments remain a viable treatment option in this patient population.
Keywords: Case report, fibroids, embolization, leiomyoma, adenomyosis, dissection, green
