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2015 | 09 | 2 |

Tytuł artykułu

Acute aortic dissection - case description

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Treść / Zawartość

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Aortic dissection is a tearing in the inner wall of the aorta which spreads along the wall of the vessel. Acute aortic dissection is one of acute aortic syndromes, that is, sudden clinical conditions which are associated with abnormalities of the aortic wall and threaten patient’s life. It is estimated that the number of aortic dissections in Poland amounts to around 1000 cases per year. The symptoms of aortic dissection are so equivocal that they may suggest other diseases of various organs in the thorax and abdominal cavity. The described case of a 57-year-old man is an example of a complication of hypertension which, as a result of an isometrical physical effort, caused tearing of an inner membrane and forming of an aortic dissection of type I in the DeBakey classification. After performing medical imagining the patient with the diagnosis of aortic dissection, hematoma in the pseudoaneurysm cavity and renal infarction was submitted to emergency cardiac surgery. The diagnostics and selection of a place at cardiac surgery were carried out within an hour. However, the surgery did not take place, because the patient died due to a circulatory collapse. Acute aortic dissection is subject to high mortality rate during the first hour since the onset of symptoms. Therefore, rapid recognition is crucial for the further prognosis of the patient.

Wydawca

-

Rocznik

Tom

09

Numer

2

Opis fizyczny

p.39-42,fig.,ref.

Twórcy

autor
  • The Department of Diagnostic Imagining, The Zofia Tarnowska nee Zamoyska Regional Hospital in Tarnobrzeg,Szpitalna 1, Tarnobrzeg, Poland
  • Chair of Rehabilitation, Physiotherapy and Balneotherapy, The Department of Balneotherapy, Medical University of Lublin, Lublin, Poland
  • The Department of Social and Humanistic Studies, State Higher Vocational School Memorial of Prof. Stanislaw Tarnowski in Tarnobrzeg, Tarnobrzeg, Poland
autor
  • The Department of Anaesthesiology and Intensive Care Medicine, The Zofia Tarnowska nee Zamoyska Regional Hospital in Tarnobrzeg, Tarnobrzeg, Poland

Bibliografia

  • 1. Bonaca M.P., O’Gara P.T. (2014), Diagnosis and management of acute aortic syndromes: dissection, intramural hematoma, and penetrating aortic ulcer. Curr Cardiol Rep. 16(10): 536.
  • 2. Divchev D., Aboukoura M., Weinrich M., Rehders T., Tillwich F., Richartz B., Clough R.E., Nienaber C.A. (2014), Risk evaluation of type B aortic dissection : Importance for treatment of acute aortic syndrome. Chirurg. 85(9): 774-81.
  • 3. Galabada D.P., Nazar A.L. (2014), Unusual presentation of aortic dissection: Post-coital acute paraplegia with renal failure. Saudi J Kidney Dis Transpl. 25(5): 1059-61.
  • 4. Fattori R., Tsai T.T., Myrmel T., Evangelista A., Cooper J.V., Trimarchi S., Li J., Lovato L., Kische S., Eagle K.A., Isselbacher E.M., Nienaber C.A. (2008), Complicated acute type B dissection: is surgery still the best option?: a report from the International Registry of Acute Aortic Dissection. JACC Cardiovasc Interv. 1(4): 395-402.
  • 5. Galicia-Tornell M.M., Marín-Solís B., Mercado-Astorga O., Espinoza-Anguiano S., Martínez-Martínez M., Villalpando-Mendoza E. (2009), Sinus of Valsalva aneurysm with rupture. Case report and literature review. Cir Cir. 77(6): 441-5.
  • 6. Gargiulo M., Bianchini Massoni C., Gallitto E., Freyrie A., Trimarchi S., Faggioli G., Stella A. (2014), Lower limb malperfusion in type B aortic dissection: a systematic review. Ann Cardiothorac Surg. 3(4): 351-67.
  • 7. Murashita T., Ogino H., Matsuda H., Sasaki H., Tanaka H., Iba Y., Domae K., Fujiwara T. (2012), Clinical outcome of emergency surgery for complicated acute type B aortic dissection. Circ J. 76(3): 650-4.
  • 8. Olsson C., Thelin S., Ståhle E., Ekbom A., Granath F. (2006), Thoracic aortic aneurysm and dissection: increasing prevalence and improved outcomes reported in a nationwide population-based study of more than 14,000 cases from 1987 to 2002. Circulation. 114(24): 2611-8.
  • 9. Suzuki T., Distante A., Zizza A., Trimarchi S., Villani M., Salerno Uriarte J.A., De Luca Tupputi Schinosa L., Renzulli A., Sabino F., Nowak R., Birkhahn R., Hollander J.E., Counselman F., Vijayendran R., Bossone E., Eagle K. (2009), IRAD-Bio Investigators. Diagnosis of acute aortic dissection by D-dimer: the International Registry of Acute Aortic Dissection Substudy on Biomarkers (IRAD-Bio) experience. Circulation. 119(20): 2702-7.
  • 10. Williams M.L., Sheng S., Gammie J.S., Rankin J.S., Smith P.K., Hughes G.C. (2010), Aortic dissection as a complication of cardiac surgery: report from the Society of Thoracic Surgeons database. Ann Thorac Surg.; 90(6): 1812-7.
  • 11. Vincentelli A., Juthier F., Banfi C., Prat A. (2011), Classification and etiology of acute aortic syndromes. Presse Med. 40(1): 28-33.
  • 12. Vural K.M., Sener E., Taşdemir O., Bayazit K. (2001), Approach to sinus of Valsalva aneurysms: a review of 53 cases. Eur J Cardiothorac Surg. 20(1): 71-6.

Typ dokumentu

Bibliografia

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