Resumo

JANERO MOLINER, Kendry et al. Abdominal aortic dissection apropos of a case. CorSalud [online]. 2021, vol.13, n.1, pp. 100-103.  Epub 01-Mar-2021. ISSN 2078-7170.

Abdominal aortic dissection has a low incidence. It may happen when a small tear or rupture occurs in the tunica intima, dividing the wall layers and forming a false channel, or lumen with blood flow inside. We present the case of a 67-year-old man with a history of high blood pressure, with no regular treatment, who sought care at the Hospital Salvador Allende (Havana, Cuba) as he presented with a week-long abdominal pain radiating to the left iliac fossa and back, which was not relieved by the usual analgesics. An abdominal ultrasound was performed which found an aneurysmal dilatation of the abdominal aorta, with signs of dissection towards the right iliac artery; therefore, computed tomography angiography (CTA) was performed and the diagnosis was confirmed. He underwent aorto-iliac bypass with abdominal-aortic-fenestration and end-to-end anastomosis in both iliac arteries.

Palavras-chave : Abdominal aorta; Dissection; Dissecting Aneurysm; Diagnostic imaging; Computed tomography.

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