A Case of Emergency Stent Grafting for Stanford Type B Dissection with Limb Ischemia and Renal Dysfunction

Abstract

An 81-year-old man with sudden onset of back pain was urgently transported to a local hospital. An enhanced computed tomography demonstrated an acute Stanford type B dissection and conservative therapy was started. Bilateral limb ischemia and renal dysfunction appeared 9 day after onset because the true lumen was severely compressed by the false lumen. He was referred to our hospital for an emergency operation. After admission, we performed emergency endovascular stent graft placement for the entry closure. After the procedure, the limb ischemia and renal dysfunction improved, and he was transferred back to the local hospital.