Pulmoner Emboli ile Komplike Parapleji Olarak Başvuran Aort Diseksiyonu

Yıl 2025, Cilt: 12 Sayı: 1, 53 - 57, 30.04.2025

Nuri Köse , Tamer Kırat , Gökhan Ergün , Fatih Akın , İbrahim Altun

https://doi.org/10.47572/muskutd.1622746

Öz

Aort diseksiyonu ve pulmoner emboli ciddi ve potansiyel olarak yaşamı tehdit eden kardiyovasküler hastalıklardır. Akut aort diseksiyonu sonucu gelişen parapleji en ciddi komplikasyonlardan biridir. Venöz tromboembolizm riski paraplejili hastalarda artar. Aort diseksiyonu, parapleji, derin ven trombozu ve pulmoner embolinin birlikteliği çok nadirdir. Bu yazıda, akut tip I aort diseksiyonu sonucu spinal kord iskemisine bağlı parapleji gelişen, subakut fazda derin ven trombozu ve pulmoner emboli ile komplike olan 81 yaşında bir erkek hastayı sunduk.

Anahtar Kelimeler

Aort Diseksiyonu , Derin Ven Trombozu , Parapleji , Pulmoner Emboli

Aortic Dissection Presenting as Paraplegia Complicated with Pulmonary Embolism

Öz

Aortic dissection and pulmonary embolism are serious and potentially life-threatening cardiovascular diseases. Paraplegia is one of the most life-threatening complication of aortic dissection. The risk of venous thromboembolism increases in patients with paraplegia. The coexistence of aortic dissection, paraplegia, deep vein thrombosis and pulmonary embolism are very rare. This paper reports a case of an 81-year-old male patient, developing paraplegia related to spinal cord ischemia due to acute type I aortic dissection, in the subacute phase, complicated with deep vein thrombosis and pulmonary embolism.

Anahtar Kelimeler

Aortic dissection , Deep Vein Thrombosis , Paraplegia , Pulmonary Embolism

Kaynakça

• Bossone E, Eagle KA. Epidemiology and management of aortic disease: aortic aneurysms and acute aortic syndromes. Nat Rev Cardiol 2021;18:331–48.
• Tiemtoré-Kambou BM, Koama A, Kontogom S, et al. Aortic dissection-Pulmonary embolism association: A therapeutic dilemma. Radiol Case Rep. 2022;17(8):2779-83.
• Geirsson A, Szeto WY, Pochettino A, et al. Significance of malperfusion syndromes prior to contemporary surgical repair for acute type A dissection: outcomes and need for additional revascularizations. Eur J Cardiothorac Surg. 2007;32:255-62.
• Tuygun AK, Şahin S, Yurtseven N, et al. Late paraplegia after repair of a type I aortic dissection: an uncommon complication. Turkish J Thorac Cardiovasc Surg. 2005;13:263-6.
• Shimura S, Cho Y, Aki A, et al. Successful reversal of immediate paraplegia associated with repair of acute Type A aortic dissection using cerebrospinal fluid drainage. Interact Cardiovasc Thorac Surg. 2013;17:1051-3.
• Sui RB, Zhang L, Liu K. Aortic dissection presenting primarily as acute spinal cord damage: a case report and literature review. J Int Med Res. 2012;40:2014-20.
• Chen XG, Shi SY, Ye YY, et al. Successful treatment of aortic dissection with pulmonary embolism: A case report. World J Clin Cases. 2022;10(16):5394-9.
• Nakamura K, Orii K, Hanai M, et al. Management of acute pulmonary embolism after acute aortic dissection surgery. J Cardiol Cases. 2020;22(4):195-7.
• Tudoran M, Tudoran C. High-risk pulmonary embolism in a patient with acute dissecting aortic aneurysm. Niger J Clin Pract. 2016;19(6):831-3.
• Kagawa Y, Ota S, Hoshino K, et al. Acute Pulmonary Thromboembolism and Deep Vein Thrombosis during the Medical Treatment of Acute Aortic Dissection was Successfully Treated by the Combination of Inferior Vena Cava Filter Installation and Anti-Coagulant Therapy: A Case Report. Ann Vasc Dis. 2015;8(1):36-9.