Aortic Dissection as a Complication in Patients on Maintenance Haemodialysis: Two Cases Report

Abstract

Aortic dissection (AD) is a rare disease that may result in a fatal outcome. Uremic patients are often associated with factors susceptible to AD. We herein report two cases of AD occurring in maintenance haemodialysis patients. The two male Chinese had history of smoking and poor uncontrolled hypertension for many years. One patient died of the aortic wall rupture with conservative treatment. The other patient had a history of myocardial infarction and long-term administration of anti-platelet drugs. The patient survives after prompt stenting and continuous maintenance haemodialysis. It is important to improve our understanding about aortic dissection (AD) in haemodialysis patients because of the high mortality and morbidity. Once a patient on maintenance haemodialysis is diagnosed with AD, surgery or endovascular graft exclusion should be considered according to the actual situation of individual patients, and the mode of dialysis should be converted in conservation treatment patients.