28 yaşında bir bireyde dört gündür devam eden bacak ağrısı kardiyopulmoner bypass altında bir cerrahi gerektirir mi? Genç bir hastada akut tip A aort diseksiyonu

Year 2019, Volume: 10 Issue: 2, 265 - 267, 12.06.2019

Ata Niyazi Ecevit Hakan Çomaklı Orhan Eren Günertem

https://doi.org/10.18663/tjcl.560818

Abstract

Tip
A aort diseksiyonu genelde yaşlı ve hipertansif hastalarda sıkça görülen bir
patolojidir. Atipik semptomları olan genç hastalarda bu tanı akıllara
gelmeyebilir. Biz 4 gündür olan bacak ağrısı şikayeti ile hastaneye başvuran ve
tip A aort diseksiyonu tanısı olan 28 yaşında bir hastanın olgu sunumunu
yaparak bu patolojinin genç hastalarda da ayırıcı tanıda akıllarda tutulması
gerektiğini vurgulamak istedik.

Keywords

akut tip A diseksiyon , bacak ağrısı , genç hasta

Does a four-days leg pain require a surgery under cardiopulmonary bypass in a 28-years-old person? Acute type A aortic dissection in a young patient

Abstract

Type
A dissections of the ascending aorta is usually seen in elderly hypertensive
patients. This diagnosis may not come to minds in young people with atypical
symptoms. We aim to emphasize that this pathology should be kept in mind as a
differential diagnosis also in young patients in this case report of an
28-year-old male patient who have right lower extremity pain for last 4 days
and diagnosed with  acute type A
dissection.

Keywords

acute type A dissection , leg pain , young patient

References

• 1.Santi Trimarchi et al. Role of age in acute type A aortic dissection outcome: report from the International Registry of Acute Aortic Dissection (IRAD). J Thorac Cardiovasc Surg 2010; 140: 784-89
• 2.Beth A. Vogt et al. Aortic dissection in young patients with chronic hypertension. Am J Kidney Dis 1999; 33: 374-78
• 3.Westover AN, Nakonezny PA. Aortic dissection in young adults who abuse amphetamines. Am Heart J 2010; 160: 315-21
• 4.James L. Januzzi, Eric M. Isselbacher, Rossella Fattori et al. Characterizing the Young Patient With Aortic Dissection: Results From the International Registry of Aortic Dissection (IRAD). J Am Coll Cardiol 2004; 43: 665-69.
• 5. Wei HY1, Chung HT, Wu CT, Huang JL. Aortic dissection complicated with hemothorax in an adolescent patient with systemic lupus erythematosus: case report and review of literature. Semin Arthritis Rheum 2011; 41: 12-18.
• 6.Tsai J and Sherman S. Aortic dissection in a young man with immune thrombocytopenic purpura. J Emerg Med 2005; 28: 285-88.