A Case of Stanford Type B Dissection with Limb Ischemia and Renal Disfunction Caused by Severely Compressed True Lumen

(The Department of Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan)

Hitoshi Suzuki Shinji Kanemitsu Toshiya Tokui
Yuo Kanamori Yoshihiko Kinoshita
A 62-year-old man suddenly felt severe back pain. An enhanced computed tomography (CT) demonstrated an acute Stanford type B dissection and the true lumen was severely compressed by the false lumen. We started conservative therapy because there was no sign of organ ischemia. A 23 days from onset, he developed bilateral limb ischemia and renal failure because the compression of the true lumen increased. After bilateral axillo-femoral bypass the organ ischemia disappeared. Four months later, CT showed the dilatation of the true lumen and occlusion of the bilateral grafts. In spite of graft occlusion, there was no sign of organ ischemia.
@Jpn. J. Cardiovasc. Surg. 34: 310-313 (2005)