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Combined Type B Aortic Dissection and Fusiform Abdominal Aortic Aneurysm

Case Reports

Department of Surgery, Division of Thoracic and Vascular Surgery, University Hospital of Antwerp

D. De Vries

Department of Surgery, Division of Thoracic and Vascular Surgery, University Hospital of Antwerp

R. Vanmaele

Department of Surgery, Division of Thoracic and Vascular Surgery, University Hospital of Antwerp

H. Demey

Department of Intensive Care, University Hospital of Antwerp, Edegem, Belgium

Two patients are described with a combined type B aortic dissection and a fusiform abdominal aortic aneurysm, the dissection not involving the aneurysm. In a seventy- year-old man a type B aortic dissection and a large abdominal aneurysm were found. An infrarenal aortic bifurcation graft was inserted. He died fifteen months later of cardiogenic shock. In a sixty-six-year-old man diagnosis of a primary aortoduodenal fistula was made together with a limited type B dissection. A straight aortic interposi tion graft was inserted. He died eleven months later of the complications of a secondary aortoduodenal fistula.

Although combination of aortic dissection and abdominal aneurysm is a rare occur rence, conservative management of the aortic dissection and interposition graft for the abdominal aneurysm was successful as initial treatment in these 2 patients.

Angiology, Vol. 45, No. 7, 655-661 (1994)
DOI: 10.1177/000331979404500709


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