Abstract

Background: Patients with connective tissue disease are a potentially challenging population to treat via an endovascular approach. Treatments carry a risk of new or further dissection, including at the arteriotomy, and challenges navigating true or false lumen.
Case presentation: The authors present a case of a patient with a recent aortic dissection in the setting of presumed connective tissue disease, with coincidental symptomatic uterine fibroids, successfully treated via uterine artery embolization.
Conclusion: To the author’s knowledge, this case report is the first to describe successful uterine artery embolization in a patient with existing type b dissection. With proper technique and preparation, uterine artery embolization and other endovascular treatments remain a viable treatment option in this patient population.

Key words: Case report, fibroids, embolization, leiomyoma, adenomyosis, dissection