Type B Dissection Resulting in Acute Limb Ischemia in a Patient With a History of EVAR | Zendy

Lalithapriya Jayakumar | Zendy; Joseph V. Lombardi | Zendy; Francis J. Caputo | Zendy

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Type B Dissection Resulting in Acute Limb Ischemia in a Patient With a History of EVAR

Author(s) -

Lalithapriya Jayakumar,

Joseph V. Lombardi,

Francis J. Caputo

Publication year - 2017

Publication title -

vascular and endovascular surgery/vascular and endovascular surgery

Language(s) - English

Resource type - Journals

eISSN - 1938-9116

pISSN - 1538-5744

DOI - 10.1177/1538574417689983

Subject(s) - medicine , limb ischemia , dissection (medical) , endovascular aneurysm repair , aneurysm , surgery , ischemia , aortic dissection , aortic aneurysm , lower limb , abdominal aortic aneurysm , radiology , aorta , cardiology

Type B aortic dissection (TBAD) can be complicated due to visceral and limb malperfusion. We present the case of a patient with a TBAD 5 months after endovascular aneurysm repair (EVAR) for an infrarenal aortic aneurysm, which resulted in a right leg acute limb ischemia due to impingement of the EVAR from to the dissection. In the following discussion, we will review the literature and describe our technique for the treatment of this infrequent problem.

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