AI Article Synopsis
- A 69-year-old man experienced sudden chest and back pain; CT scans revealed he had an acute Type B aortic dissection along with a large abdominal aortic aneurysm (AAA).
- Management initially involved controlling his blood pressure, with a follow-up planned for later intervention.
- After 20 days, he underwent simultaneous surgery to repair both the aortic dissection and abdominal aorta, and the operation was successful with no complications during recovery.
Article Abstract
A 69-year-old man developed sudden-onset chest and back pain and was brought to our hospital. Enhanced computed tomography (CT) revealed acute Stanford type B aortic dissection extending from the distal aortic arch to a 72 mm abdominal aortic aneurysm( AAA). The acute phase was managed by antihypertensive therapy, and the patient was followed up. Twenty days after the onset of aortic dissection, entry closure of aortic dissection by thoracic endovascular aortic repair and abdominal aorta replacement were performed simultaneously. Aorta remodeling was confirmed by postoperative CT, and the patient's postoperative course was uneventful. In the treatment of patients with acute aortic dissection and AAA, surgical intervention timing and strategy must be considered carefully.
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