Li Li, Zhuang Shunjiu, Qi Shaohong, Cui Jiasheng, Zhou Junwen, Zhu Huaqi, Zhang Wan, Li Ming, Fu Weiguo
Department of Vascular Surgery, Shanghai Huadong Hospital Affiliated with Fudan University, Shanghai 200040, China.
Case Rep Vasc Med. 2013;2013:693435. doi: 10.1155/2013/693435. Epub 2013 Nov 12.
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.
我们报告了一例近期急性B型主动脉夹层（AAD）合并迟发性急性肾衰竭的病例，并回顾了一些相关文献。该患者术前接受了腹膜透析，随后进行了胸主动脉腔内修复术（TEVAR），术后完全康复并很快出院。我们得出结论，AAD病例难以及时诊断，但关注全身症状并制定全面的治疗方案，有望实现完全康复并获得良好预后。
