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Double Whammy: Concomitant Acute Type B Aortic Dissection and Acute Pulmonary Embolism

Vascular Specialist International 2020년 36권 3호 p.158 ~ 162
Gouran Amirkhosro, Safdari Hassan, Pouraliakbar Hamidreza, Shafe Omid, Moosavi Jamal, Mohebbi Bahram, Sadeghipour Parham,
소속 상세정보
 ( Gouran Amirkhosro ) - Iran University of Medical Sciences Rajaie Cardiovascular Medical and Research Center
 ( Safdari Hassan ) - Iran University of Medical Sciences Rajaie Cardiovascular Medical and Research Center
 ( Pouraliakbar Hamidreza ) - Iran University of Medical Sciences Rajaie Cardiovascular Medical and Research Center
 ( Shafe Omid ) - Iran University of Medical Sciences Rajaie Cardiovascular Medical and Research Center
 ( Moosavi Jamal ) - Iran University of Medical Sciences Rajaie Cardiovascular Medical and Research Center
 ( Mohebbi Bahram ) - Iran University of Medical Sciences Rajaie Cardiovascular Medical and Research Center
 ( Sadeghipour Parham ) - Iran University of Medical Sciences Rajaie Cardiovascular Medical and Research Center

Abstract


The concomitant occurrence of acute type B aortic dissection (TBAD) and acute pulmonary embolism (PE) is a rare but challenging condition. Although anticoagulation therapy is essential in the treatment of PE, it may increase the risk of aortic rupture and bleeding complications. We herein describe a patient with acute TBAD complicated by PE, which was successfully treated with early thoracic endovascular aortic repair (TEVAR) followed by anticoagulation. The present case report demonstrates that early TEVAR not only treats the aortic pathology but also allows the safe initiation of anticoagulation therapy.

키워드

Type B aortic dissection; Pulmonary emboli; Anticoagulation therapy; Thoracic endovascular aortic repair

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