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Use of endovascular stent-graft repair for type B aortic dissection in polycystic kidney disease.

Aortic dissection (AD) is a life-threatening medical urgency with autosomal-dominant polycystic kidney disease (ADPKD) being one of its major risk factors. Even though endovascular stentgraft repair has better outcomes in complicated Type B AD, its use in a patient with ADPKD has not been reported previously. This case involves a 44-year-old female with a history of ADPKD, hypertension and chronic low back pain presented with severe pain in the interscapular region. She was diagnosed with Type B AD by a computed tomographic (CT) scan of her chest and was managed medically. She was readmitted 9 days after discharge with worsening pain due to the proximal extension of AD. She was treated, with endovascular stentgraft repair sealing the dissection flap with significant subsequent reduction of the false lumen index and symptoms. We are reporting the first case of a complicated Type B AD in a patient with ADPKD managed with endovascular stent-graft repair.