Aortic Dissection in Different Clinical Findings : Case Series

Abstract

Aortic dissection occurs as a result of the rupture of the internal wall of the aorta, and it is an emergency. We aimed to present 5 cases diagnosed with Aortic dissection that visited us with typical/atypical symptoms which have very high mortality rates in cases where the diagnosis is not made. The ages of the patients who were all male were in the range of 49-66. Two patients were brought due to complaints of chest pain, two were brought for syncope and one was brought for abdominal pain. Additionally, there was a clinical case of stroke in one of the patients who was brought for chest pain. All the patients were hospitalized in the department of CVS for their monitoring and treatment. Our provisional diagnosis must definitely consider acute Aortic dissection which has a high mortality rate especially when patients with uncontrolled or newly diagnosed hypertension visit emergency services with complaints of severe chest, back and/or abdominal pain, and when there is an incidence of atypical syncope or stroke.

Keywords

• Aortic dissection,stroke,abdominal pain

References

1. 1. Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, et al. ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2014;35:2873–926.
2. 2. Nienaber CA, Powell JT. Management of acute aortic syndromes. Eur Heart J. 2012;33:26–35.
3. 3. Trimarchi S, Tsai T, Eagle KA Acute abdominal aortic dissection: insight from the International Registry of Acute Aortic Dissection (IRAD). J Vasc Surg. 2007;46(5):913–919.
4. 4. DeBakey ME, Henly WS, Cooley DA, Morris GC Jr, Crawford ES, Beall AC . Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg. 1965;49:130–49.
5. 5. Daily PO, Trueblood HW, Stinson EB, Wuerflein RD, Shumway NE. Management of acute aortic dissections. Ann Thorac Surg. 1970;10: 237–47.
6. 6. 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;283:897–903.
7. 7. Tsai TT, Nienaber CA, Eagle KA. Acute aortic syndromes. Circulation. 2005;112:3802–13.
8. 8. Di Eusanio M, Trimarchi S, Patel HJ, Hutchison S, Suzuki T, Peterson MD, et al. Clinical presentation, management, and short-term outcome of patients with type A acute dissection complicated by mesenteric malperfusion: observations from the International Registry of Acute Aortic Dissection. J Thorac Cardiovasc Surg. 2013;145:385–90.