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

Öz

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.

Anahtar Kelimeler

• 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

Öz

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.

Anahtar Kelimeler

• acute type A dissection,leg pain,young patient

Kaynakça

1. 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. 2.Beth A. Vogt et al. Aortic dissection in young patients with chronic hypertension. Am J Kidney Dis 1999; 33: 374-78
3. 3.Westover AN, Nakonezny PA. Aortic dissection in young adults who abuse amphetamines. Am Heart J 2010; 160: 315-21
4. 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. 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. 6.Tsai J and Sherman S. Aortic dissection in a young man with immune thrombocytopenic purpura. J Emerg Med 2005; 28: 285-88.