Unexpected renal hemorrhage after endovascular repair of complicated type B aortic dissection: two cases report.

ABSTRACT:

Background

Thoracic endovascular aortic repair (TEVAR) is the therapeutic choice for type B aortic dissection. One of the most unfavored complications of this procedure is hemorrhage, which has a low incidence but high mortality. Renal hemorrhage (RH) after endovascular aortic repair has been rarely reported. We presented two cases of unexpected RH after TEVAR for complicated type B aortic dissection, and the potential causes, diagnosis and therapeutic management were discussed.

Case presentation

A 67-year-old female developed hypotension and progressively decrease of hemoglobin within 5 h after TEVAR for acute complicated type B dissection. Bedside ultrasonography and abdominal computed tomography angiography revealed a massive right perinephric hematoma. The right renal an

SUBMITTER: Zhang H 

PROVIDER: S-EPMC6240213 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature