Successful Treatment of Acute Aortic Dissection uccessful Treatment of Acute Aortic Dissection Type Stanford A Presenting as Limb Ischemia, ype Stanford A Presenting as Limb Ischemia, Successfully Treated with Operative and uccessfully Treated with Operat

Miljenko Kovačević, Marin Boroe, Igor Medved, Slavica Kovačić, Davor Primc, Jadranko Sokolić


We report a successful treatment of unusual case of a 48 year old male patient with acute aortic dissection type Stanford A that expanded into left common and external iliac artery diagnosed by MSCT angiography, presenting as a single leg paresis, without symptoms of a chest or back pain. Patient was operated with conventional ascending aortic replacement. Patient had no known prior medical condition. He has been treated for acute thrombosis of the left popliteal artery developing one day after ascending aortic replacement surgery, embolectomy was performed. Critical limb ischemia developed due to preocclusive stenosis of the left common and left external iliac artery and was treated by endovascular procedure of iliac artery stenting performed on the fifth postoperative day. After 17 days patient was discharged form hospital, showing no neurological or vascular deficit. For successful treatment of acute aortic dissection type Stanford A complicated with limb ischemia, rapidandaccuratediagnosis is essential, together with close cooperation of cardio surgeons, vascularsurgeonsandinvasiveradiologists and individual approach to these demanding patients.


acute aortic dissection, ascending aorta, Stanford A, postoperative complication, thrombosis, preocclusive stenosis, common iliac artery, popliteal artery, thrombectomy, good postoperative result

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