تقرير
Near missed diagnosis of extensive aortic dissection in a young patient presenting with non-specific symptoms.
| العنوان: | Near missed diagnosis of extensive aortic dissection in a young patient presenting with non-specific symptoms. |
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| المؤلفون: | Hassan M; Aga Khan University Hospital, Karachi., Khan IQ; Aga Khan University Hospital, Karachi., Khan BA; Aga Khan University Hospital, Karachi., Siddique EU; Aga Khan University Hospital, Karachi. |
| المصدر: | JPMA. The Journal of the Pakistan Medical Association [J Pak Med Assoc] 2019 Sep; Vol. 69 (9), pp. 1376-1379. |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Pakistan Medical Association Country of Publication: Pakistan NLM ID: 7501162 Publication Model: Print Cited Medium: Internet ISSN: 0030-9982 (Print) Linking ISSN: 00309982 NLM ISO Abbreviation: J Pak Med Assoc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Karachi : Pakistan Medical Association Original Publication: Karachi. |
| مواضيع طبية MeSH: | Aortic Dissection/*diagnostic imaging , Vertigo/*diagnosis, Adult ; Aortic Dissection/complications ; Aortic Dissection/physiopathology ; Aortic Dissection/surgery ; Blood Vessel Prosthesis Implantation ; Computed Tomography Angiography ; Diagnostic Errors ; Dizziness/etiology ; Emergency Service, Hospital ; Humans ; Hypotension/etiology ; Imaging, Three-Dimensional ; Male ; Nausea/etiology ; Near Miss, Healthcare ; Neck Pain/etiology |
| مستخلص: | Acute aortic dissection is a frequently fatal condition that rarely involves young individuals. It has an estimated worldwide prevalence of 0.5-2.95 per 100,000 persons per year, with a mean incidence at around age 60. Of all the aortic dissections, less than 10% involve patients younger than 40 years of age. We present the case of a forty-yearold male who presented in the emergency department with non-specific complaints of nausea and lightheadedness. The patient being hemodynamically and clinically stable was discharged after supportive treatment. However after 5 hours the patient presented again in the emergency department with a neck pain, hypotension and sweating. CT angiography revealed a massive aortic dissection involving ascending, arch and descending aorta up to the bifurcation of iliac arteries. The patient was immediately taken for surgery for the replacement of ascending aorta and resuspension of aortic valve. The patient tolerated surgery well and was discharged after being clinically and haemodynamically stable. |
| فهرسة مساهمة: | Keywords: Acute aortic dissection, cardiovascular, cardiothoracic surgery, emergency medicine |
| تواريخ الأحداث: | Date Created: 20190913 Date Completed: 20200218 Latest Revision: 20221207 |
| رمز التحديث: | 20231215 |
| PMID: | 31511729 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0030-9982 |
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