This case is an unfortunate case of acute ascending aortic dissection in a young patient following mdma use. The cause of aortic dissection in hd patients is probably multifactorial. The cumulative incidence of catheterinduced dissection with retrograde progression to the aorta has been estimated at approximately 0. The aorta is a major capacitive element of the arterial tree. Cureus transthoracic echocardiographic findings of. Carotid artery dissection due to extension of aortic dissection caead is a severe complication of acute aortic dissection. Acute aortic dissection continues to be associated with high mortality. Acute aortic dissection presenting as painless paraplegia. Early and accurate diagnosis and also treatment for. Aortic dissection, ripping luminal tear, chest pain. Chest x ray showed cardiomegaly with right lung shadowing, and ventilationperfusion scan was negative. Case report open access interdisciplinary team approach for complicated type b aortic dissection with concomitant hematothorax by endovascular stent grafting and left side mini thoracotomy. Acute aortic dissection is a lifethreatening clinical emergency, which mostly occurs in aged patients and presents with sharp chest pain.
This is em cases aortic dissection live from the em cases course. Examination on admission was normal apart from minor tenderness on palpation of the left lower chest wall. A case report of painless type a aortic dissection with. Aortic dissection is a relatively uncommon and potentially misdiagnosed disease. In this case, aortic dissection resulted in aortic regurgitation secondary to prolapse of the dissection flaps into the aortic valve.
Acute aortic dissection is an extreme emergency that is generally manifested by violent chest pain. Case report type a aortic dissection presenting with. We present a case of a 43yearold nonsmoking female with a past medical history of mfs, mvp, and a 4. Thoracic aortitis caused by clostridium septicum is a rare infection with a strong association with malignancy and high mortality rate when left untreated. We report the case of a 47 year old man who developed sudden onset right leg pain during coitus. Aortic aneurysms and dissection are common causes of morbidity and mortality in marfan syndrome. Prompt diagnosis and management of aortic dissection are key to reduce patient morbidity and mortality.
Autopsy case of aortic dissection after transcatheter. Definitive diagnosis with imaging studies such as computed tomography angiogram cta can be expensive and timeconsuming and may not always be available in the community. Marfan syndrome mfs is a rare connective tissue disorder attributed to a defect in the fibrillin1 gene. Case we report a 62yearsold men with diagnosis of stanford type a acute aortic dissection misdiagnosed as a hypertensive crisis. An aortic dissection is a serious condition in which the inner layer of the aorta, the large blood vessel branching off the heart, tears. While missing aortic dissection was considered the standard in the late 20th century, our understanding of the clinical diagnosis has improved considerably since the landmark international registry of aortic dissection irad study in 2000. A case of thoracic aortic dissection presenting as lateral. Sonographic features of carotid artery dissection due to.
Case report open access acute aortic dissection presenting as painless paraplegia. A case of thoracic aortic dissection presenting as lateral pleuritic chest pain. This case is rare but can serve as a reminder that aortic dissection may be accompanied by septic shock, and this could result in a grave outcome. The onset of acute type a aortic dissection following. Although there have been previous cases of ascending type i aortic dissection recognized in young weight lifters, this is the first reported instance of a descending type iii. In addition, gpa should be included in the systemic vasculitis that can give rise to aortitis and even aortic dissection. A new entity of aortic dissection in young weight lifters may be emerging. Aortic aneurysm and acute aortic syndrome are not uncommon conditions. A 58yearold male patient presents with sudden, tearing.
Aortic dissection describes the condition when a separation has occurred in aortic. He was admitted to hospital with severe left sided pleuritic chest pain. Atypical presentation and late diagnosis of acute aortic dissection. Autopsy case of aortic dissection after transcatheter aortic. Successful treatment included aortic fenestration and an aortobiiliac bypass.
Patients with marfan syndrome mfs whose lifetimes are extended may be encountered. We report a case of surgical treatment for stanford type a acute aortic dissection in a patient with c. Our case is a previously unreported occurrence of aorta dissection associated with the hd process. Our case appeared as the first case report of aortic dissection presenting as septic shock. Nevertheless, there is a variety of other conditions that can cause an acs without significant obstructive coronary artery disease on angiography. Sudden onset peri or postcoital cardiovascular disease is well documented in the literature including myocardial infarction, pulmonary embolus and subarachnoid haemorrhage. Case report aortic dissection or myocardial infarction.
This case report describes a case of scad presenting as an acute coronary syndrome together with aortic dilatation requiring aortic valve and aortic root replacement. If the bloodfilled channel ruptures through the outside aortic wall, aortic dissection is often fatal. Case report open access interdisciplinary team approach. Discussion despite the fact that scad and aortic dilatation share common aetiologies, this is the first case to our knowledge describing severe aortic dilatation and scad.
However, a painless type a aortic dissection associated with transient cardiac asystole and spontaneous recovery in our case report may be the first one in the literature. Clostridium septicum infected stanford type a acute aortic. Type 1 aortic dissection is a lifethreatening emergency with mortality rates 50% in first 24 h, increasing up to 75% within 2 weeks of the event. With a mortality rate as high as 30 percent, it is important to be able to diagnose quickly and accurately. Acute aortic dissection presenting as bilateral lower. This article reports the case of a 61yearold male smoker with poorly controlled hypertension who suffered a stanford type b aortic dissection. Complete heart block as a presenting sign of painless type a aortic dissection was also documented. She also complained about increasing cough intensity and.
Case report type a aortic dissection presenting with neurological symptoms mimicking stroke and intracranial hemorrhage mengyu wu 1,2 id, yingwei tsai 1,2, lingchi lee 1,2, yungchang chien 1,2, yulong chen 1,2. Topresent a rare occurrence of aortopulmonary fistula due to rupture of proximal aortic dissection in a 48yearold woman. In this case, the essential role of familial screening is demonstrated, where the patients aortic dissection would not have been diagnosed had it not. Aortic dissection china pdf ppt case reports symptoms. Acute aortic dissection is an extreme emergency that is generally manifested by violent chest pain irradiating to a patients back and abdomen. The patient had an inferior stemi due to the involvement of the right coronary artery as an extension of the ascending aortic dissection. Early and accurate diagnosis and treatment are essential for survival. A search of the literature failed to produce another case report of aortic dissection in this situation. This case illustrates an unusual acute cppd attack that mimicked an aortic dissection.
This patient was successfully managed with surgery. Total endovascular repair of an intraoperative stentgraft deployed in the false lumen of stanford type a aortic dissection. Proximal aortic dissection with rupture into the main pulmonary arterya case report ramachandran muthiah thoothukudi medical college hospital, thoothukudi, india abstract aim. A case report of painless type a aortic dissection with inte.
Management of acute aortic dissection and related syndromes requires a multidisciplinary approach with input from the patient. Acute aortic dissection ad has a high morbidity and mortality rates, 1% to 2% of patients with aortic dissection. This report describes a case of a large thrombus of a native aortic valve presenting as an stelevation myocardial infarction stemi. Cureus transthoracic echocardiographic findings of stanford. We report a case of a 56 years old male who presented with signs and symptoms of myocardial infarction and was later found to have aortic dissection. A 68yearold immunocompetent woman presented with fever and sudden onset of severe back pain mimicking aortic dissection. Atypical presentation of ascending aortic dissection diagnosed via. A 63yearold hypertensive man with rheumatoid arthritis presented with general malaise and. There are limited data on how to manage these patients.
Case report spinal cord infarction with aortic dissection. Case report a 81yearold female was admitted to the emergency department ed of general hospital due to expectoration of nonsignificant amount of fresh blood a day prior to the admission. The occurrence of aortic dissection in this setting has been reported only once previously. Bicuspid aortic valve with ascending aortic aneurysm is a common condition encountered in pregnancy. Aortic dissection related to sexual intercourse has so far only been described in a single case report 33. Aortic dissection is one of the severe but rare vascular complications arising from transcatheter aortic valve implantation tavi. Pdf aortic dissection is a relatively uncommon and potentially misdiagnosed disease. Case report of a 28yearold man with aortic dissection and. This case reports a 77year old woman presenting with symptoms of chest pain that were thought to be from acs, but later diagnosed as acute. The septic shock was possibly due to the bacterial translocation caused by aortic dissectioninduced intestinal ischemia.
Pdf management of aortic dissection in marfanoid young. Aortic dissection type i in a weightlifter with hypertension. The risk of aortic dissection is estimated to be increased during sexual intercourse. This paper presents an autopsy case of an 81yearold male patient with delayed aortic dissection with underlying haemorrhages and acute inflammation 3 years after tavi. A case of acute aortic dissection presenting with chest. To the best of our knowledge, no correlation exists between achondroplasia and aortic dissection. A case of acute aortic dissection presenting with chest pain. Cardiac arrhythmias have been reported in some case reports.
Spontaneous coronary artery dissection and aortic dilatation. Claire a martin, 1 virginia e clowes, 2 and john p cooper 3 author information. Turgutdeniz, 1 erseldag, 2 murattulmac, 3 burcuazapoglu, 1 andcaglaralp 3 department of emergency medicine, faculty of medicine, kirikkale university, kirikkale, turkey. Although it is a common causative agent of skin and soft tissue infection after an animal bite or scratch, in rare cases it can cause spinal infections in humans. Aortic dissection is a relatively rare but dreadful illness, often presenting with tearing chest pain and acute hemodynamic compromise. Case report spinal cord infarction with aortic dissection atsuyuki kawabata,1 masaki tomori,1 and yoshiyasu arai2 1department of orthopedic surgery, saku general hospital, 340028 nakagomi, saku, nagano 3850051, japan 2department of orthopedic surgery, saiseikai kawaguchi general hospital, 5115 nishikawaguchi, kawaguchi, saitama 3328558, japan. We report at 62yearsold men with diagnosis of stanford type a acute aortic dissection misdiagnosed as a hypertensive crisis. Marfan syndrome is an autosomal dominant connective tissue disorder characterized by a combination of clinical manifestations in different organ systems.
Nonetheless, aortic dissection remains difficult to diagnosis with 1 in 6 being. A case report of panaortic dissection masquerading as an inferior myocardial infarction, stroke and bilateral lower extremity paraplegia injoon lee 1, matthew p. An angiotomography showed an infrarenal abdominal aortic dissection. Atypical clinical presentation of extensive aortic dissection at. Acute aortic dissection is an uncommon disorder which can have fatal results in the event of treatment delay or misdiagnosis. Recent case reports suggest considering abdominal examination as a point to explore in patients with acute aortic syndrome, remembering that. We present a case of painless inferior stemi in the setting of ascending aortic dissection. Proximal aortic dissection with rupture into the main.
A case of an abdominal aortic dissection in a hemodynamically. Total endovascular repair of an intraoperative stentgraft. We are presenting a case of stanford type a aortic dissection in a 46 year old patient with history of cocaine abuse. We believe its important to report this case because it underscores the relationship between cocaine abuse and aortic dissection. Aortic dissection is a wellknown, but relatively uncommon diagnosis in the emergency department ed. Acute ascending aortic dissection after mdmaecstasy use. An unusual presentation of thoracic aortic dissection in a 73 year old man is described. Case report spinal cord infarction with aortic dissection atsuyuki kawabata,1 masaki tomori,1 and yoshiyasu arai2 1department of orthopedic surgery, saku general hospital, 340028 nakagomi, saku, nagano 3850051, japan. Other causes are coagulation disorders, heart failure, aortic aneurysm and certain medications. A case of thoracic aortic dissection presenting as lateral pleuritic. A case report on asymptomatic ascending aortic dissection. To our knowledge, this is the first report of aortic dissection provoked by sneezing in the literature. This case examines a 77yearold woman presenting with chest pain relieved by nitroglycerin.
This case report illustrates the importance of the history and physical examination in addition to a thorough knowledge of the features of abdominal aortic aneurysms. Aortic regurgitation is found in up to 70% of patients presenting with proximal aortic dissection, but the symptoms may mimic other conditions if not recognized as a possible presenting symptom of aortic dissection. To our knowledge, we report the only case of a bicuspid aortic valve and aortic aneurysm with twin gestations. Aortic and coronary artery dissection during percutaneous. Throughout his ed stay, his pain was refractory to medication, and he developed a new fever, prompting a targeted shoulder ultrasound.
The early diagnosis of aortic dissection improves treatment and outcome 7. The application of spinal manipulative therapy in patients with aaa is also discussed. Cauchi, amitabh parashar2 1virginia techcarilion clinic school of medicine, department of general cardiovascular disease, roanoke, va, usa. In our case, we highlighted the clinical features of acute aortic dissection which may be present together. Blood surges through the tear, causing the inner and middle layers of the aorta to separate dissect. In our case, the initial presentation of aortic dissection included isolated sinus bradycardia. In addition it strongly emphasizes basic principles in medicine. The patient initially presented to an outlying community emergency department ed with a chief complaint of isolated lumbar pain associated with bilateral lower extremity paresthesia and paralysis. Early and accurate diagnosis and also treatment for patient survival are required. Although there have been previous cases of ascending type i aortic dissection recognized in young weight lifters, this is the first reported instance of descending type iii dissection in such an individual.
Here, we report the first case of such an advancedaged patient with dwarfism and cardiac surgery and the second case of successful acute aortic dissection repair in patients with achondroplasia in the english literatures 3,4,5,6,7,8,9,10,11. Case report open access spinal epidural abscess caused by pasteurella multocida mimicking aortic dissection. There were no other cardiac symptoms and no evidence for av block. Aortic dissection is a very scary diagnosis to make, particularly in the urgent care or other outpatient setting where we do not have immediate access to cardiothoracic surgery. We report a patient in whom the development of dissection was secondary to sneezing, although hypertension was present as a risk factor, and we discuss the relationship between sneezing and aortic dissection. Aortic dissection during antiangiogenic therapy with sunitinib. Dec 31, 2019 nevertheless, there is a variety of other conditions that can cause an acs without significant obstructive coronary artery disease on angiography. Thoracic aortic stent implantation and interventional occlusion operation abdominal aortic stent implantation citation. Pdf aortic dissection type i in a weightlifter with. We present a case of a 56yearold woman with a stanford type a aortic dissection ad presenting as bilateral lower extremity paralysis. Because of the above reasons, we did not measure serum ddimer concentration in our patient. Spinal epidural abscess caused by pasteurella multocida. A case report of painless type a aortic dissection with intermittent.
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