A Case Report of Acute Type B Dissection with ARDS Due to Acute Exacerbation of Idiopathic Interstitial Pneumonia

Abstract

Acute type B aortic dissection is a disease with various complications during the course of treatment. We report a case of acute type B aortic dissection and an ARDS due to an acute exacerbation of interstitial pneumonia, an 80-year-old male. The chief complaint was back pain. He was transferred to our critical care center and was diagnosed with acute type B aortic dissection on contrast-enhanced CT. We started resting antihypertensive management. 3 days after admission, respiratory distress was observed, and CT was performed again due to poor oxygenation. Extensive ground glass shadows were found in both lung fields, and acute exacerbation of idiopathic interstitial pneumonia and accompanying diagnosis of ARDS BiPAP and methylprednisolone administration were started. Since then, his respiratory condition has gradually improved, and he has started to take prednisolone.