Ulcer-like projections into the dilated false lumen after stent-graft placement for aortic dissection: A case report.

ABSTRACT:

Rationale

Acute type A aortic dissection and chronic type B aortic dissection (TBAD) occurs simultaneously in rare cases. Although the development of ulcer-like projection (ULP) is associated with an increase in adverse aorta-related events, the false-lumen enlargement caused by the ULP progression is uncommon.

Patient concerns

A 72-year-old female with chronic TBAD was admitted to our unit with back and chest pain. Computed tomography revealed acute type A aortic dissection and a hematoma caused by rupturing of the descending aorta due to chronic TBAD. After endovascular intervention, the false lumen thrombosed and shrunk.

Diagnosis

After 9 months, a developing ULP, which projected into a dilating false lumen, was found. An impending ruptured descending aortic aneury

SUBMITTER: He X 

PROVIDER: S-EPMC8735798 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature