Aortic Coarctation With Type B Aortic Dissection: A Systematic Review and Report of 2 Cases.
Mauricio Gonzalez-Urquijo, Leopoldo Marine, Jose Francisco Vargas et al.
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Case in brief
This report combines a systematic review with two additional cases of concomitant aortic coarctation and type B aortic dissection. Across 22 analyzed cases, median age was 39 years (range: 25-64 years), and 18 (81.8%) patients were male. Fourteen underwent open surgery, five underwent endovascular repair, one had hybrid repair, and two were managed conservatively. The reported complication rate was 9% (n=2), with no reported deaths. Median follow-up was 11.5 months (range: 6-48 months); long-term outcomes remain undefined.
What made this case unusual
The report addresses the uncommon coexistence of aortic coarctation and type B aortic dissection; the underlying pathophysiology remains uncertain.
Diagnostic / clinical pearl
When aortic coarctation and type B dissection coexist, both open and endovascular repair have been used with low reported complication rates, but available follow-up does not establish long-term durability.