Year 2019, Volume 5, Issue 1, Pages 202 - 205 2019-01-04

Deep vein thrombosis and pulmonary embolism in a patient with acute type B aortic dissection: a case report

Engin Akgül [1] , Gülen Sezer Alptekin Erkul [2] , Sinan Erkul [3] , Ahmet Hakan Vural [4]

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Acute dissection involving ascending aorta contains high risk of mortality and requires surgical treatment immediately. Venous thrombosis can manifested as deep vein thrombosis or pulmonary embolism. It may be isolated or complication of another disease. Because of pulmonary thromboembolism risk, treatment of deep vein thrombosis is strongly recommended. A 61-year-old male patient with severe back pain and shortness of breath presented to the emergency service. The findings of the physical examinations, chest x-ray and electrocardiogram were normal. Contrast-enhanced computerized tomography showed an aortic intimal tear that started just below the subclavian artery and extended into the iliac arteries. The patient was hospitalized and the medical treatment started. On the 4th day of clinical follow-up, pain and swelling started at his right leg with severe shortness of breath. Venous Doppler ultrasound was performed and there were thrombosis at popliteal, femoral and even at iliac veins. Computed tomography showed pulmonary embolism at pulmonary trunk. Aortic dissection treated with endovascular stent graft firstly to prevent aortic rupture because of anticoagulation and then pulmonary embolism treated with anticoagulant drugs. Hypercoagulation is a self defence of the body for limiting the aortic intimal tear to prevent aortic rupture. So many complications could be seen because of this situation and the physicians should be awaken for this. 

acute aortic dissection, deep vein thrombosis, pulmonary embolism, endovascular stent graft, anticoagulation
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Case Reports
Authors

Orcid: 0000-0001-7361-0430
Author: Engin Akgül (Primary Author)
Institution: Department of Cardiovascular Surgery, Dumlupınar University, Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
Country: Turkey


Orcid: 0000-0003-2838-7828
Author: Gülen Sezer Alptekin Erkul
Institution: Department of Cardiovascular Surgery, Dumlupınar University, Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
Country: Turkey


Orcid: 0000-0002-7990-914X
Author: Sinan Erkul
Institution: Department of Cardiovascular Surgery, Dumlupınar University, Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
Country: Turkey


Orcid: 0000-0002-8878-2857
Author: Ahmet Hakan Vural
Institution: Department of Cardiovascular Surgery, Dumlupınar University, Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
Country: Turkey


EndNote %0 The European Research Journal Deep vein thrombosis and pulmonary embolism in a patient with acute type B aortic dissection: a case report %A Engin Akgül , Gülen Sezer Alptekin Erkul , Sinan Erkul , Ahmet Hakan Vural %T Deep vein thrombosis and pulmonary embolism in a patient with acute type B aortic dissection: a case report %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 1 %R doi: 10.18621/eurj.403641 %U 10.18621/eurj.403641