Isolated abdominal aortic dissection

Abstract

Isolated acute abdominal aortic dissection is a rare condition, accounting for 1.3% of all aortic dissections. It may be classified as iatrogenic, traumatic or spontaneous. To date, only 92 patients have been reported in western literature. All the reports were based on the Caucasian population, and the mean age according to the International Registry of Acute abdominal aortic dissection (IRAD) was 67.7 ± 13.3 years. We report a case of an isolated infrarenal abdominal aortic dissection in a middle age Asian man, and our subsequent management.

Identification and Management of Abdominal Aortic Dissection With Concurrent Aneurysm

“…There are multiple management options for aortic abdominal dissection and aneurysms that have been proposed. Including open, endovascular and conservative approaches depending on the size of the dissection, concurrent aneurysm size, and the location of the dissection in relation to the renal arteries [1][2][3].…”

“…Spontaneous isolated abdominal aortic dissection (IAAD) is a rare entity, most common among male patients with an average age of 67.7 ± 13.3 years old [ 2 ]. In patients with IAAD, the most common comorbidities are hypertension and pre-existing aortic aneurysm which can be found in up to 40% of patients.…”

“…There are multiple etiologies described in the literature for this rare condition including spontaneous, traumatic, and iatrogenic, with first being the most common [ 1 ]. Concurrent aortic dissection along with aneurysm has been described in less than 40% of the cases [ 2 ]. In this case report, we are describing a spontaneous case of abdominal aortic dissection with a concomitant aneurysm in a healthy patient with no known comorbidities that was treated with an open retroperitoneal abdominal aortic repair.…”

Mercaptoethanol Protects the Aorta from Dissection by Inhibiting Oxidative Stress, Inflammation, and Extracellular Matrix Degeneration in a Mouse Model

“…Clinically, thoracic AD has an incidence 3 per 100,000 individuals per year [ 8 ]. However, the mechanisms of occurrence and the associations between abdominal AD and thoracic AD are rarely studied, apart from their associations with hypertension [ 9 ].…”