AORTIC DISSECTİON IN YOUNG FEMALE PATIENT : A CASE REPORT

Yıl 2012, Cilt: 2 Sayı: 3, 179 - 181, 01.09.2012

Mehmet Esen Tuğba Karaman Murat Ayan Nurşah Başol Tufan Alatlı Semih Arıcı

Öz

Aorta dissection is a real emergency due to high mortality rate. Therefore, diagnosis and treatment should not be delayed. It is commonly seen between the ages of 40 and 70 in male patients.. The present case describes a young lady diagnosed with aorta dissection with echocardiography the main complaint of whom was headache.

Anahtar Kelimeler

aortic dissection, echocardiography, emergency department

GENÇ KADIN HASTADA AORT DİSEKSİYONU: OLGU SUNUMU

Öz

Aort diseksiyonu, yüksek mortaliteden dolayı gerçek acillerdendir. Bu nedenle tanı ve tedavi geciktirilmemelidir. Sıklıkla 40-70 yaş arası erkeklerde görülür. Bu olgu sunumunda baş ağrısı şikayeti ile hastanemize başvuran, ekokardiyografi ile aort diseksiyonu tanısı konulan genç kadın hasta tartışılmıştır.

Anahtar Kelimeler

aort diseksiyonu, ekokardiyografi, acil servis

Kaynakça

• Svensson LG, Crawford ES. Aortic dissection and aortic aneurysm
• investigations, and statistical analyses.Part II. Curr Probl Surg 1992; 29: 915-1057.
• Coady MA, Rizzo JA, Elefteriades JA: Pathologic variants of thoracic aorta dissection:penetrating atherosclerotic ulcers and intramural hematomas. Cardiol Clin 1999; 17:637.
• Siegal EM. Acut Aort Dissection. J.Hospital Med.2006;1:94- 105
• Park SW, Hutchison S, Mehta RH et al. Association of painless acute aortic dissection with increased mortalty. Mayo Clin Proc 2004;79:1252-7.
• Wheat MW, Jr. Acute dissecting aneurysms of the aorta: diagnosis and treatment. Am.Heartj1980;99:373-87.
• Crawford ES, Crawford JL, Safi HJ et al: Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients.J.Vasc.Surg1986;3:389-404
• Debakey ME, Mccollum CH, Crawford ES, Morris GC, Jr., Howell J, Noon GP, Lawrie G: Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery 1982; 92: 1118- 34
• Immer FF., Bansi AG., Immer-Bansi AS. et al. Aortic dissection in pregnancy: analysis of risk factors and outcome. Ann Thorac Surg, 2003,76; 309–314
• Hines G, Dracea C, Katz DS. Diagnosis and management of acute type A aortic dissection Cardiol Rev. 2011;19:226-32.
• Wen D, Zhou XL, Li JJ, Hui RT. Biomarkers in aortic dissection. Clin Chim Acta. 2011;412:688-95.
• Nistri S, Sorbo MD, Marin M et al: Aortic root dilatation in young men with normally functioning bicuspid aortic valves. Heart 1999; 82: 19-22
• de Virgilio C, Nelson RJ, Milliken J: Ascending aortic dissection in weight lifters with
• cystic medial degeneration. Ann.Thorac.Surg. 1990; 49: 638
• Mukherjee D, Eagle KA. Aqrt dissection an uptade. Curr Probl Cardiol 2005;30:287-325
• Cambria RP, Brewster DC, Gertler J et al: Vascular complications associated with spontaneous aortic dissection. J.Vasc.Surg. 1988; 7: 199-209
• Erbel R, Oelert H, Meyer J, et al: Effect of medical and surgical therapy on aortic dissection evaluated by transesophageal echocardiography: Implications for prognosis and therapy. Circulation1993; 87:1604.
• Hartnell G, Costello P, Goldstein S, et al: The diagnosis of thoracic aortic dissection by noninvasive imaging procedures. New Engl J Med 1993; 328:1637
• Blanchard DG, Kimura BJ, Dittrich HC et al: Transesophageal echocardiography of the aorta. Jama 1994; 272:546.
• Penco M, Paparoni S, Dagianti A et al: Usefulness of transesophageal echocardiography in the assessment of aortic dissection. Am.J.Cardiol. 2000; 86: 53G-6G experimental