Abstract
We report a case of acute type B aortic dissection complicated by coarctation of aorta in 35-year-old women. Computed tomography angiography (CTA) showed a short segment aortic narrowing with diameter of 9.2 mm a small intimal tear, a true lumen, a false lumen, a markedly thick mural thrombus and pleural effusion. Open surgical procedure was performed and the aortic coarctation (CoA) and aortic dissection were resected and a 24-mm prosthetic graft was anastomosed. No pseudo aneurysms were present at the anastomosis sites on the follow up CTA.
Highlights
Acute type B dissection is a life threatening condition that is associated with a very high mortality rate [1]
We report a case of acute type B aortic dissection complicated by coarctation of aorta in 35-year-old women
Coarctation of aorta is rare in adults, and it could occasionally be complicated by Stanford type A
Summary
Acute type B dissection is a life threatening condition that is associated with a very high mortality rate [1]. The correct diagnosis of the acute type B dissection can be a challenging job because aortic dissection has “many faces”. It can mimic other disease conditions such as heart attack, stroke, acute abdomen or the patient may present with ischemic limb. In our case of study the patient came with the classical presentation of acute type B aortic dissection, intense and severe inter scapular pain, often described by the patients as the worst pain they have ever experienced. Even though the patients project different symptoms, compromised arterial inflow to some branch of the aorta due to aortic dissection can justify the condition [2]
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