Two patients with a combined acute aortic dissection and a fusiform abdominal aortic aneurysm (AAA) are described. The dissection involved the aneurysm, which is rarely diagnosed during life. An aortic bifurcation graft was inserted, but both patients died of persisting septic shock. An acute aortic dissection involving an existing AAA is a major catastrophic event that should be considered as a complicated aortic dissection for which urgent surgical treatment is advised.
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References
1.
1. Van Schil P, De Vries D, Vanmaele R, et al: Combined type B aortic dissection and fusiform abdominal aortic aneurysm. Angiology45:655-661, 1994.
2.
2. Reilly JM, Tilson MD: Incidence and etiology of abdominal aortic aneurysms. Surg Clin North Am69:705-711, 1989.
3.
3. Roberts CS, Roberts WC: Combined thoracic aortic dissection and abdominal aortic fusiform aneurysm. Ann Thorac Surg52:537-540, 1991.
4.
4. Cambria RP, Brewster DC, Moncure AC, et al: Spontaneous aortic dissection in the presence of coexistent or previously repaired atheroclerotic aortic aneurysm. Ann Surg208:619-624, 1988.
5.
5. Taylor CR, August D, Greenwood L, et al: Aortic dissection with concurrent abdominal aortic aneurysm: Computed tomography diagnosis. J Comput Tomogr11:392-396, 1987.
6.
6. Abad C: Thoracic aortic dissection and atherosclerotic abdominal aortic aneurysm [letter]. Ann Thorac Surg55:564-565, 1993.
7.
7. May J, White G, Yu W, et al: Endoluminal repair of atypical dissecting aneurysm of the abdominal aorta. J Vasc Surg22:167-172, 1995.
8.
8. Slonim SM, Nyman U, Semba CP, et al: Aortic dissection: Percutaneous management of ischemic complications with endovascular stents and balloon fenestration. J Vasc Surg23:241-253, 1996.
