Skip to main content
Log in

Spontaneous acute abdominal aortic dissection

  • Case Report
  • Published:
Annals of Vascular Surgery

Abstract

A case of spontaneous acute infrarenal aortic dissection, with extension to the right common iliac artery and proximally to just below the origin of the renal arteries is presented. This dissection did not involve the visceral vessels nor the iliac system. The diagnosis was made with ultraso-nography and computed tomography, without the need for angiography, and confirmed during surgical intervention, in which, prosthetic replacement of the affected segment was carried out.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hirst AE, John VJ, Kirne SW. Dissecting aneurysms of the aorta: A review of 505 cases. Medicine 1958;37:217–279.

    Article  PubMed  Google Scholar 

  2. Graham D, Alexander JJ, Francesshi D, Rashad F. The management of localized abdominal aortic dissections. J Vasc Surg 1988;8:582–591.

    Article  PubMed  CAS  Google Scholar 

  3. Gore I, Sciwart VJ. Dissecting aneurysm of the aorta. Arch Pathol 1952;53:121–141.

    CAS  Google Scholar 

  4. Doroghazi RM, Slater EE. Aortic dissection: presentation and diagnosis. In Doroghazi RM, Slater EE, eds. Aortic dissection. New York: McGraw-Hill, 1983, pp 61–70.

    Google Scholar 

  5. Fann JI, Miller DC. Dissections aortiques. Ann Chir Vasc 1995;9:311–323.

    Article  CAS  Google Scholar 

  6. DeBakey ME, McCollum CH, Crawford ES, Morris GC, Howell J, Noon GP, Lawrie G. Dissection and dissecting aneurysms of the aorta: Twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery 1982;92:1118–1133.

    PubMed  CAS  Google Scholar 

  7. Crawford ES, Crawford JL. Aortic dissection and dissecting aortic aneurym. In Diseases of the aorta. Baltimore: Williams & Wilkins, 1984, pp. 168–173.

    Google Scholar 

  8. Becquemin J-P, Deleuze P, Watelet J, Testard J, Melliere D. Acute and chronic dissections of the abdominal aorta: Clinical features and treatment. J Vasc Surg 1990;ll:397–402.

    Article  Google Scholar 

  9. Roberts CS, Roberts WC. Aortic dissection with the entrance in abdominal aorta. A Heart 1991;121:1834–1835.

    Article  CAS  Google Scholar 

  10. Giyanani VL, Krebs CA, Nail LA, Eisenberg RL, Parvey HR. Diagnosis of abdominal aortic dissection by image-directed Doppler sonography. J Clin Ultrasound 1989; 17:445–448.

    Article  PubMed  CAS  Google Scholar 

  11. Gendal ES, Mendelson DS, Janus CL, Golinko RJ. Magnetic resonance imaging of isolated abdominal aortic dissection. Clin Imaging 1989; 13:217–219.

    Article  PubMed  CAS  Google Scholar 

  12. Kimura T, Otsuji K, Kawasaki Y, Hanai G, Sano M, Banno T, Yoshizaki S. Surgical treatment in dissecting aneurys of the infrarenal abdominal aorta: report two cases. Nippon Geka Gakkai Zasshi 1989;90:1939–1945.

    PubMed  CAS  Google Scholar 

  13. Azodo MV, Gutierrez OH, De Weese JA. Abdominal aortic dissection with retrograde extension into the thoracic aorta: case report. Cardiovasc Intervent Radiol 1990;12:317–320.

    Article  Google Scholar 

  14. Uchino A, Sako T, Imada H, Ohno M. Spontaneous abdominal aortic dissection: case report and review. Radiat Med 1990;8:129–131.

    PubMed  CAS  Google Scholar 

  15. Zareba J. Diagnostic problems in a case of dissecting Aneurysm of the abdominal aorta with subsequent myeloma-malacia. Neurol Neurochir Pol 991;25:255–258.

    Google Scholar 

  16. VanMaele RG, De Bock L, Van Schil PE, Ysebaert DK, Willcox PM, Couttenye MM, Vereycken HA, De Leersnijder DG. Limited acute dissections of the abdominal aorta. Report of five cases. J Cardiovasc Surg 1992;33:298–304.

    CAS  Google Scholar 

  17. Silbert PL, Matz LR, Larbalestier R, Lawrence-Brown M. Abdominal aortic dissection due to idiopathic medial aortopathy in a 32-year-old Caucasian man. J Cardiovasc Surg 1992;33:457–460.

    CAS  Google Scholar 

  18. Elliot BM, Roberts CS, Robinson JG, Brothers JE. Aortic dissection originating in the suprarenal abdominal aorta. J Vasc Surg 1994;19:1092–1096.

    Google Scholar 

  19. Khalil I, Fahl M. Acute infrarenal abdominal aortic dissection with secondary aneurysm formation in pregnancy. Eur J Vasc Endovasc Surg 1995;9:481–448.

    Article  PubMed  CAS  Google Scholar 

  20. DeBakey ME, Henly SW, Cooley DA, Morris GC, Crawford ES, Deall AC. Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg 1965;49:130–149.

    PubMed  CAS  Google Scholar 

  21. Daily PO, Trueblod HW, Stinson EB, Wuerflein RD, Shum-way NE. Management of acute aortic dissection. Ann Thorac Surg 1970; 10:237–247.

    Article  PubMed  CAS  Google Scholar 

  22. Dubost CH, Guilmet D, Soyer R. La chirurgie des aneurysmes de l’aorta. Paris: Masson 1970;248-260.

  23. Cambria RP, Morse S, August D, Gusberg R. Acute dissection originating in the abdominal aorta. J Vasc Surg 1987;5:495–497.

    Article  PubMed  CAS  Google Scholar 

  24. Carreno JA, Alvarez LJ, Llaneza JM, Ortega JM, Pobo V, Rodriguez J, Gutierrez JM, Guzman A, Jimenez JR, Bongera F. Aportaciones del TAC en el manejo de los Aneurismas de Aorta Abdominal Inestables. Cirugia Española 1989;66:614–625.

    Google Scholar 

  25. Kittredge RD, Gordon RB. CT Demonstration of dissecting hematoma originating in abdominal aorta. J Comput Assist Tomogr 1987; 11:279–281.

    Article  PubMed  CAS  Google Scholar 

  26. Youngson G, Engeset J, Hussey J, Smith G. Dissecting aneurysm of infrarenal abdominal aorta. Surgery 1983;94:521–523.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Carreno, J.A., Llaneza, J.M., Alvarez, L.J. et al. Spontaneous acute abdominal aortic dissection. Annals of Vascular Surgery 12, 373–378 (1998). https://doi.org/10.1007/s100169900171

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s100169900171

Keywords

Navigation