Hindawi Publishing Corporation Case Reports in Vascular Medicine

permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We report a recent case and review some literatures of acute aortic dissection (AAD) Stanford type B complicated with late onset of acute renal failure. The patient underwent preoperational peritoneal dialysis followed by thoracic endovascular aortic repair (TEVAR) and was fully recovered and discharged soon after surgery. We conclude that an AAD case is difficult to achieve a timely diagnosis, but with attention to systemic symptoms and dedication thorough treatment plan, a full recovery and positive prognosis are expected. 1. Case Report A 51-year-old male patient was transferred to our unit with a diagnosis of acute thoracic aortic dissection. He had experienced sudden onset excruciating chest-back “tearing” pain with nonspecific ST change for 3 hours after myocardial infarction was ruled out by the cardiac care unit. Upon admission, physical examination showed BP 200/110mmHg with HR 92; femoral artery was palpable bilaterally. Patient did not have a medical history of hypertension or diabete