A Case of Emergency TEVAR for Acute Type B Aortic Dissection with Cardiac Tamponade

Abstract

A 77-year-old man was diagnosed with cardiac tamponade and underwent emergency pericardial drainage. A contrast-enhanced computed tomography (CT) scan detected the ruptured false lumen of acute Stanford type B aortic dissection with an entry in the distal arch. We performed an emergency thoracic endovascular aortic repair (TEVAR) for lifesaving, but the postoperative paraplegia was developed. The adamkiewicz artery at the 12th level of thoracic vartebra was patent on CT examination. Because there are few reports that the acute Stanford type B aortic dissection causes cardiac tamponade and the pathology requires urgent treatment, we will review the literature.