Aortic dissection: case series

Authors

  • Bhavana Venkata Nagabhushana Rao Department of Medicine, Queens NRI Hospital, Visakhapatnam

DOI:

https://doi.org/10.18203/2320-6012.ijrms20160822

Keywords:

Aortic dissection, Hypertension, Renal artery stenosis, Abdominal pain

Abstract

Aortic dissection may not be attended by a physician in his lifetime, but he should possess all the clinical acumen to deal with as it is a catastrophic disease. Early and accurate diagnosis will save a life. Here we present three cases we faced in sequence over a period of two months. A case of extensive dissection arch to thoracic aorta, its display in detail. Second case eliciting ambiguity between coronary ischemia and aortic dissection. Management difficulties of such clinician situation are discussed. Third case, the fracture of a renal artery stent leading to severe hypertension, abdominal pain, and aortic dissection. Such case was not described in the literature to our knowledge.

References

Mészáros I, Mórocz J, Szlávi J, Schmidt J, Tornóci L, Nagy L, et al. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117(5):1271-8.

Larson EW, Edwards WD. Risk factors for aortic dissection: a necropsy study of 161 cases. Am J Cardiol. 1984;53(6):849-55.

Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000;283(7):897-903.

von Kodolitsch Y, Schwartz AG, Nienaber CA. Clinical prediction of acute aortic dissection. Arch Intern Med. 2000;160(19):2977-82.

Bossone E, Mehta RH, Trimarchi S, Cooper JV, Smith DE et al. Coronary artery involvement in patients with acute type A aortic dissection: Clinical characteristics and in-hospital outcomes. J Am Coll Card. 2003;41(6S1):235.

Stone PA, Campbell JE, Aburahma AF, Hamdan M, Broce M, Nanjundappa A, Bates MC. Ten-year experience with renal artery in-stent stenosis. J Vasc Surg. 2011;53(4):1026-31.

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Published

2016-12-28

How to Cite

Rao, B. V. N. (2016). Aortic dissection: case series. International Journal of Research in Medical Sciences, 4(4), 1268–1271. https://doi.org/10.18203/2320-6012.ijrms20160822

Issue

Section

Case Reports