Symptomatic Type B Intramural Aortic Hematoma as a Complication of Retrograde Right Common Iliac Artery Dissection.
作者信息
Sonetto Alessia, Gargiulo Mauro, Gallitto Enrico, Ancetti Stefano, Faggioli Gianluca, Stella Andrea
机构信息
Vascular Surgery, University of Bologna, DIMES, Policlinico Sant'Orsola-Malpighi, Bologna, Italy.
Vascular Surgery, University of Bologna, DIMES, Policlinico Sant'Orsola-Malpighi, Bologna, Italy.
出版信息
Ann Vasc Surg. 2018 May;49:313.e9-313.e15. doi: 10.1016/j.avsg.2017.11.044. Epub 2018 Feb 16.
PURPOSE
To report the endovascular treatment of a spontaneous iliac artery dissection (IAD) involving iliac bifurcation, complicated by a type B intramural aortic hematoma (IMH).
CASE REPORT
A 38-year-old female patient came to our institution referring an acute ascending back pain. The angio computed tomography scan showed the presence of a retrograde right IAD with entry tear at the iliac bifurcation and a concomitant aortic IMH. After hypogastric embolization with a vascular plug, self-expanding stent graft was placed to cover the iliac entry tear. At 12 months, the patient was asymptomatic and the angio computed tomography scan showed the patency of the iliac graft without IMH.
CONCLUSIONS
Endovascular treatment of spontaneous IAD is a safe and effective option in symptomatic patient complicated with type B IMH.
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