Faculty, Staff and Student Publications

Language

English

Publication Date

2-12-2026

Journal

Journal of Vascular Surgery Cases, Innovations and Techniques

DOI

10.1016/j.jvscit.2026.102179

PMID

41847422

PMCID

PMC12990251

PubMedCentral® Posted Date

2-12-2026

PubMedCentral® Full Text Version

Post-print

Abstract

False lumen evolution in type B aortic dissection, particularly with medical management and anticoagulation, remains incompletely understood. We report a 55-year-old man on apixaban for pulmonary embolism with a subacute zone 3-10L TBAD without malperfusion. He was managed medically initially and represented twice over 2 months with back pain and acute right lower extremity ischemia. Serial imaging demonstrated dynamic remodeling with progression from partial to near-complete thrombosis to full reperfusion with true lumen compression. Urgent endovascular repair was performed successfully. This case illustrates the unpredictable course of medically managed TBAD and need for judicious use of anticoagulation.

Keywords

Carotid revascularization, Propensity-score match, Reverse flow, Stenting, Stroke, Vascular Quality Initiative, Aortic dissection, False lumen remodeling, TEVAR

Published Open-Access

yes

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