Hepatic portal venous gas complication associated with the thoracic endovascular aortic repair for aortic dissection: a case report and literature review.

Autor:	Duan XH; Department of Vascular Surgery, The First Affiliated Hospital of Gannan Medical University Ganzhou 341000, Jiangxi, China., Duan Q; Department of Vascular Surgery, The First Affiliated Hospital of Gannan Medical University Ganzhou 341000, Jiangxi, China., Liu JP; Department of Vascular Surgery, The First Affiliated Hospital of Gannan Medical University Ganzhou 341000, Jiangxi, China., Le ZB; Department of Vascular Surgery, The First Affiliated Hospital of Gannan Medical University Ganzhou 341000, Jiangxi, China., Xiao JQ; Department of Vascular Surgery, The First Affiliated Hospital of Gannan Medical University Ganzhou 341000, Jiangxi, China., Ye R; Department of Vascular Surgery, The First Affiliated Hospital of Gannan Medical University Ganzhou 341000, Jiangxi, China., Fang CF; Department of Vascular Surgery, The First Affiliated Hospital of Gannan Medical University Ganzhou 341000, Jiangxi, China., Liu FE; Department of Vascular Surgery, The First Affiliated Hospital of Gannan Medical University Ganzhou 341000, Jiangxi, China.
Jazyk:	angličtina
Zdroj:	American journal of cardiovascular disease [Am J Cardiovasc Dis] 2023 Dec 15; Vol. 13 (6), pp. 372-375. Date of Electronic Publication: 2023 Dec 15 (Print Publication: 2023).
Abstrakt:	Aortic dissection (AD) is a serious disease with a higher mortality. The thoracic endovascular aortic repair (TEVAR) is a first line regimen for aortic dissection. Hepatic portal venous gas (HPVG) is a rare disease, and its definite mechanism is unknown. This is a rare association between the aortic and HPVG. In the present report, we present a case of thoracic aortic dissection, which was the type of Standford B by the computer tomography (CT) angiography, which implicated acute abdominal pain and abdominal distention after TEVAR and immediate abdominal CT shown hepatic portal venous gas (HPVG). The patient, who was treated with conservative treatment of gastrointestinal decompressing, fluid resuscitation, electrolyte replacement, anti-infection, anti-inflammation and anticoagulation, was recovered and discharged without abnormalities. This patient has been followed up for 5 years and has not experienced any physical discomfort related to HPVG. This is the first report that the aortic dissection patient implication with HPVG after thoracic endovascular aortic repair. Competing Interests: None. (AJCD Copyright © 2023.)
Databáze:	MEDLINE
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