TY  - JOUR
T1  - Deep vein thrombosis and pulmonary embolism in a patient with acute type B aortic dissection: a case report
AU  - Akgül, Engin
AU  - Alptekin Erkul, Gülen Sezer
AU  - Erkul, Sinan
AU  - Vural, Ahmet Hakan
PY  - 2019
DA  - January
Y2  - 2018
DO  - 10.18621/eurj.403641
JF  - The European Research Journal
JO  - Eur Res J
PB  - Prusa Medical Publishing
WT  - DergiPark
SN  - 2149-3189
SP  - 202
EP  - 205
VL  - 5
IS  - 1
LA  - en
AB  - Acutedissection involving ascending aorta contains high risk of mortality and requiressurgical treatment immediately. Venous thrombosis can manifested as deep veinthrombosis or pulmonary embolism. It may be isolated or complication of anotherdisease. Because of pulmonary thromboembolism risk, treatment of deep veinthrombosis is strongly recommended. A 61-year-old male patient with severe backpain and shortness of breath presented to the emergency service. The findingsof the physical examinations, chest x-ray and electrocardiogram were normal. Contrast-enhancedcomputerized tomography showed an aortic intimal tear that started just belowthe subclavian artery and extended into the iliac arteries. The patient was hospitalizedand the medical treatment started. On the 4th day of clinicalfollow-up, pain and swelling started at his right leg with severe shortness ofbreath. Venous Doppler ultrasound was performed and there were thrombosis atpopliteal, femoral and even at iliac veins. Computed tomography showed pulmonaryembolism at pulmonary trunk. Aortic dissection treated with endovascular stentgraft firstly to prevent aortic rupture because of anticoagulation and thenpulmonary embolism treated with anticoagulant drugs. Hypercoagulation is a selfdefence of the body for limiting the aortic intimal tear to prevent aorticrupture. So many complications could be seen because of this situation and thephysicians should be awaken for this.
KW  - acute aortic dissection
KW  - deep vein thrombosis
KW  - pulmonary embolism
KW  - endovascular stent graft
KW  - anticoagulation
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UR  - https://doi.org/10.18621/eurj.403641
L1  - https://dergipark.org.tr/en/download/article-file/496028
ER  -