Abstract
We report a recent case and review some literatures of acute aortic dissection (AAD) Stanford type B complicated with late onset of acute renal failure. The patient underwent preoperational peritoneal dialysis followed by thoracic endovascular aortic repair (TEVAR) and was fully recovered and discharged soon after surgery. We conclude that an AAD case is difficult to achieve a timely diagnosis, but with attention to systemic symptoms and dedication thorough treatment plan, a full recovery and positive prognosis are expected.
Highlights
Li Li,1 ShunJiu Zhuang,1 ShaoHong Qi,1 JiaSheng Cui,1 JunWen Zhou,1 Huaqi Zhu,1 Wan Zhang,1 Ming Li,2 and Weiguo Fu3
We report a recent case and review some literatures of acute aortic dissection (AAD) Stanford type B complicated with late onset of acute renal failure
The patient underwent preoperational peritoneal dialysis followed by thoracic endovascular aortic repair (TEVAR) and was fully recovered and discharged soon after surgery
Summary
Angiogram confirmed a precise placement of the stent-graft; thoracic aorta rupture was closed completely without any leak; true lumen was extended and false lumen was closed (Figure 3). The bilateral renal arteries, celiac trunk, and superior mesenteric artery were revealed completely. The urine volume was 800 mL 5 hours after surgery and reached 2800 mL after 24 hours. BUN and creatinine levels all went back to normal limits. The patient experienced a full recovery and was discharged 7 days after surgery. Six-month follow-up showed that false lumen disappeared completely and stentgraft placement was intact (Figures 4 and 5)
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