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Stent Graft for the Management of Complicated Acute Type B Dissection

  • Spyridon Mylonas
  • Jan S. Brunkwall
Chapter

Case Report

A 58-year-old male patient was transferred to our institution from a peripheral hospital with 1 day’s history of sudden onset of sharp and stabbing chest pain with interscapular radiation. Some hours later, he developed paraesthesia of both legs, which was relieved spontaneously but numbness in the left lower limb remained. Subsequently, he felt abdominal discomfort and developed acute diarrhea and vomiting.

His past medical history was remarkable for 30-pack-years of smoking. The patient had been normotensive throughout his life, but on admission he had a blood pressure of 180/100 mmHg. Clinical examination revealed a diffuse tender abdomen, whereas the left lower extremity was pulseless, pale and cold. Some laboratory data were abnormal, including elevated leucocytes, creatine, phosphokinase, and d-dimer.

Question 1

How would you classify the aortic dissection based on the clinical image of the patient?
  1. A.

    Acute uncomplicated.

     
  2. B.

    Acute complicated.

     
  3. C.

    Subacute...

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Vascular and Endovascular SurgeryUniversity Clinics, University of CologneCologneGermany

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