92 - Postersitzung
17. Mai 2019, 12:30 - 14:00, Bellavista 2, 6. OG
An unusual case of sexual dysfunction following a type B aortic dissection successfully treated by Thoracic Endovascular Aortic Repair (TEVAR) -no "hard feelings" after a type B aortic dissection
C. Ciobanu1, R. Marti1, L. Gürke2, P. Stierli1, Presenter: C. Ciobanu1 (1Aarau, 2Basel)
A 64-year-old patient was first hospitalized in January 2017 due to an acute aortic dissection type B, which was initially treated conservatively. As a result, the patient had to be hospitalized several times due to massive disturbing buttock claudication that occurred when he walked 200 m. Since the dissection, the patient also complained of erectile dysfunction. In all of the imaging investigations carried out, no relevant internal iliac artery stenosis was found to be the cause of the symptoms. The femoral pulses were present, and resting anklebrachial indexes (ABI) were normal. Due to an abnormal postexercise ABI it was assumed that the restriction of blood flow is caused by altered hemodynamics associated with the dissection. Since the patient's quality of life was severely impaired, a surgical treatment of the dissection by Thoracic Endovascular Aortic Repair (TEVAR) preceded by a carotid-subclavian bypass for the purpose of debranching was decided. Three months after undergoing treatment by TEVAR the patient had no symptoms.