Type A aortic dissection into brachial artery causing upper limb ischaemia: A case report

Abstract

Highlights Type A aortic dissection may result in upper limb ischaemia due to progression of dissecting flap. Despite adequate repair, residual dissecting flap may still propagate in the upper limb vasculature. Open or endovascular techniques is the treatment of choice for salvageable cases. Amputation is the inevitable end-point for advanced cases.

Intermittent malperfusion of bilateral upper limbs - An uncommon presentation of Type A Acute Aortic Dissection (TAAD)

“…Around one-fourth of the patients with TAAD will have limb malperfusion at the initial presentation. The prevalence of upper limb ischemia is a rare presentation reported only in 1.63 % of the cases [5] . Such atypical presentations delay the diagnosis of aortic dissection and specific management, thus increasing the morbidity of the patient [6] .…”