TY  - JOUR
T1  - Is Computed Tomography the Gold Standard in Aortic Dissection?
AU  - Tatar, Sefa
AU  - İçli, Abdullah
AU  - Akıllı, Hakan
AU  - Görmüş, Niyazi
AU  - Sertdemir, Ahmet
PY  - 2020
DA  - December
DO  - 10.33706/jemcr.789856
JF  - Journal of Emergency Medicine Case Reports
PB  - Acil Tıp Uzmanları Derneği
WT  - DergiPark
SN  - 2149-9934
SP  - 101
EP  - 103
VL  - 11
IS  - 4
LA  - en
AB  - İntroduction:        Aortic dissection is a disease with high mortality, which is characterized by a tear in the aortic wall. Thanks to early diagnosis and treatment, patients' survival rates are high. Chest pain is the most common symptom. Imaging methods help in diagnosis. Its treatment is surgery.  Case report:       A 47-year-old male patient was admitted to the emergency department with chest pain. The diagnosis of aortic dissection in computed tomography was evaluated as motion artifact and valve motion, and he was asked to be discharged from the emergency service after his diagnosis was missed. However, transesophageal echocardiography was performed because of the patient's clinical symptom  and echocardiographic findings supported the aortic dissection. When a dissection flap was seen in transesophageal echocardiography, the patient was transferred to surgery. In surgery, a dacron graft was placed in the patient's aorta and a prosthetic valve was placed on the aortic valve, and left main coronary repair and right coronary is bypass were performed. The patient was discharged without any problem.    Conclusion:          Aortic dissection is a clinical diagnosis, it is a disease with high mortality. Imaging methods are helpful in diagnosis, but the fact that imaging methods rule out dissection does not always rule out the disease. The important thing is to suspect the disease and to consider the patient's current clinical symptoms and signs.
KW  - Aortic dissection
KW  - computered tomography
KW  - transeosefageal echocardiography
KW  - surgery
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UR  - https://doi.org/10.33706/jemcr.789856
L1  - https://dergipark.org.tr/tr/download/article-file/1271805
ER  -