THE IMPACT OF DIAGNOSTIC DISCREPANCIES IN AORTIC DISSECTION MANAGEMENT
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 1
Abstract
Aortic dissection is uncommon with high mortality rate if untreated. We report a challenging case of long segment aortic dissection in which the dissection type was very difficult to identify due to limitations of the available imaging studies. 66-year-old male presented to us with 3 days history of chest pain and difficulty breathing. He is known to be hypertensive. In the emergency room, patient has systolic blood pressure >190. Chest X-ray showed widening of mediastinum. CT angiography of chest and abdomen showed an acute dissection of the thoracic aorta extending from the mid ascending aorta to the infra-renal aorta suggestive of Stanford type A aortic dissection. Transthoracic and Trans-esophageal echocardiography revealed a partially calcified intimal flap in the distal portion of the arch and in the descending thoracic aorta suggestive of Stanford type B aortic dissection. Medical treatment started, and repeated CT angiography was obtained and it confirmed type B aortic dissection. One week after discharge, patient was readmitted with severe neck pain and difficulty breathing. CT chest without contrast showed grossly stable appearance of type A dissection consistent with the first CT angiography. Cardiothoracic surgery immediately reevaluated the situation and recommended surgical intervention.
Authors and Affiliations
Abdalla Hassan| Advocate Illinois Masonic Medical center, 836 W Wellington Ave, Chicago, IL 60657, E-mail: abdalla.hassan@advocatehealth.com, MD; Ahmad Zabad| Advocate Illinois Masonic Medical center, 836 W Wellington Ave, Chicago, IL 60657, MD; Mercy Candrasekaran| Advocate Illinois Masonic Medical center, 836 W Wellington Ave, Chicago, IL 60657, MD; Abdul S. Mohammed| Advocate Illinois Masonic Medical center, 836 W Wellington Ave, Chicago, IL 60657, MD; Shafaq Mahmoud| Advocate Illinois Masonic Medical center, 836 W Wellington Ave, Chicago, IL 60657, MD; Prajwal Boddu| Advocate Illinois Masonic Medical center, 836 W Wellington Ave, Chicago, IL 60657, MD| Advocate Illinois Masonic Medical center, 836 W Wellington Ave, Chicago, IL 60657
CERVICAL ECTOPIC PREGNANCY - A MATERNAL NEAR MISS CASE
Primary cervical pregnancy is a rare entity, the reported incidence being 1 in 8,600 to 12,400 and 1% of extrauterine pregnancies. A case of maternal near miss with cervical pregnancy in 29 yr old gravida three para tw...
NUTRITIONAL STATUS, SOCIO-ECONOMIC AND HYGIENIC CONDITION OF SCHOOL AGED CHILDREN OF A VILLAGE OF PUNE DISTRICT, MAHARASHTRA
Introduction:The field of anthropometry encompasses a variety of human body measurements, such as weight, height and size; including skin fold thickness, circumference, lengths, and breadths. Anthropometry is a key com...
Hunting Biomedical Literature in PubMed: Factors Affecting the Hunt
Background: Quest for knowledge is a good indicator for anyone involved in academics and research. However, fnding what one exactly needs is the question we need to focus on. Accessing databases for retrieving informati...
Evaluation of antibacterial effects of Withania coagulans and Cynara cardunculus extracts on clinical isolates of Brucella strains
Brucellosis is a common illness zoonotic and transmitted by eating infected food products. Medicinal plants are considered as new sources for the production of agents that can act as alternatives to antibiotics in the t...
MORPHOMETRIC STUDY OF THE SACRAL HIATUS IN NIGERIAN DRY HUMAN SACRAL BONES
Background: The sacrum is a large triangular bone formed by the fusion of the five sacral vertebrae and forms the caudal region of the vertebral column. Aims: This was aimed at studying the morphometry of the sacral hia...