Aortic Dissection Limited to Abdominal Aorta: an Underrecognized Entity?

Acta chirurgica Belgica
N VermeerschP E Van Schil

Abstract

Aortic dissection limited to the abdominal aorta is a rare clinical entity with non-specific clinical features. Optimal treatment, as well as natural history and progression of the disease, remain unclear. In 1992 we -reported 5 cases of isolated abdominal aortic dissection (IAAD) and in the present paper we update our series with 5 additional patients. A concise literature review is also provided. Between 1992 and 2014, we diagnosed 5 patients with IAAD (4 men, mean age 60.6 years, range 45-77). No patient presented with acute onset of symptoms. One patient was diagnosed with a periumbilical bruit, and diagnosis was made with magnetic resonance (MR)-angiography. Other diagnoses were incidental findings on computed tomographic (CT) scanning. Dissection was located infrarenally in four cases and at the celiac trunk in one case. All cases were treated conservatively with hypertension control and close follow-up. Follow-up period ranged from 10 months to 20 years and was performed yearly by CT- or MR-angiography and blood pressure monitoring. All patients remained symptom-free, all dissection lengths remained stable. Slowly increasing post-dissection aneurysmal dilatation was encountered in two patients. We combined results of the...Continue Reading

References

Nov 16, 2012·The Cochrane Database of Systematic Reviews·Pinar UlugJanet T Powell
Aug 12, 2014·Annals of Vascular Surgery·Xuemin ZhangWei Guo

❮ Previous
Next ❯

Citations

Dec 21, 2016·Acta Radiologica Open·Anna Maria GiribonoUmberto Marcello Bracale
Dec 12, 2019·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Yang LiuYi Yang
Apr 10, 2021·Annals of Vascular Surgery·Petar ZlatanovicLazar Davidovic
Jun 18, 2019·Journal of Vascular Surgery·Jinlin WuJohn A Elefteriades

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.