Acute thoracic aortic dissection (Stanford B): challenges in early detection and management
Background: Diagnosis of acute thoracic dissection is crucial given its potential fatal complications in delayed treatment response. Early and appropriate intervention renders obviation of futile surgery. Case report: A 63 years old man with uncontrolled hypertension who presented to emergency de...
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Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
OMICS International
2015
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Online Access: | http://psasir.upm.edu.my/id/eprint/43656/1/abstract123.pdf |
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Summary: | Background:
Diagnosis of acute thoracic dissection is crucial given its potential fatal complications in delayed treatment response. Early and appropriate intervention renders obviation of futile surgery.
Case report:
A 63 years old man with uncontrolled hypertension who presented to emergency department with sharp excruciating chest pain which radiated to the back. A Computed Tomography Angiography (CTA) was done which confirmed thoracic aortic dissection (Stanford type B) (Figures 1 and 2). An uneventful endovascular stent graft with Captivia system was done to contain the entry tear. The patient was doing well post procedure with well-controlled blood pressure.
Conclusion:
This case reports documents challenges in making immediate diagnosis of acute aortic dissection and in providing appropriate intervention to avert fatal outcomes. |
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