Case Report: Stanford Type B Descending Aortic Dissection
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Published in Vol. 1 No. 2 (2026) of Loja Medical Journal.
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Stanford type B aortic dissection may cause mild symptoms despite extensive anatomical involvement. We report the case of a 70-year-old man with longstanding hypertension, a history of ischemic heart disease, hypothyroidism, and ventricular ectopy who reported mild lumbar pain during a cardiology assessment. Computed tomography angiography of the chest and abdomen revealed aneurysmal dilatation of the descending thoracic aorta measuring 8.05 × 7.69 cm, a proximal intimal flap, mural thrombus, possible involvement of the celiac artery origin, and extension of the dissection to both common femoral arteries. Following stabilization with intravenous antihypertensive therapy, beta-blockers, and analgesia, thoracic endovascular aortic repair was performed to cover the proximal entry tear. Clinical improvement, reduced pain and ventricular ectopy, and adequate blood pressure control were described. This case highlights the importance of considering aortic disease in patients with lumbar pain and cardiovascular risk factors, and of integrating anatomy, symptoms, and clinical status when selecting treatment.
References
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