Indian Journal of Public Health Research & Development

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Aortic Dissection-a Case Report


Affiliations
1 School of Medical Science & Research, Sharda Hospital, Greater Noida, India
     

   Subscribe/Renew Journal


Aortic dissection: is a catastrophic illness characterized by dissection of blood between and along the laminar planes of the media with formation of blood filled channel within the aortic wall which often ruptures out ward and cause severe hemorrhage.3 In such cases quick and timely diagnosis can save a life from Aortic catastrophe. Therefore we think it is important to report this case.

Case Presentation: This case is young man who presented with pain in abdomen, dizziness and loss of sensation in right hand in Sharda Hospital Greater Noida. The patient was referred to Cardiology Department and Echocardiography was done which suggested the diagnosis of Dissection of ascending aorta with aortic regurgitation. Case was referred for Surgery.

Bentall procedure: through sternotomy on CPB was performed and life was saved.

Conclusion: Aortic dissection is a fatal condition .A high clinical index of suspicion and correct diagnosis on Echocardiography is essential to save the life. If the patient 's history suggests neurovascular deficit as in our case , non invasive diagnostic procedure such as ECHOCARDIOGRAPHY should be performed promptly to rule out aortic dissection which is life threatening condition.


Keywords

Aortic Dissection, Echocardiography, Intimal Tear, Dissection Flap, Aortic Regurgitation, Debakey Classification, Stanford Classification Type A
Subscription Login to verify subscription
User
Notifications
Font Size


  • Zipes, Libby, Bonow, Braunwald: Braunwald Heart diseases,1415-1431.

  • Fauci, Braunwald, Kasper, Hausser lingo,Jameson,Loscalzo :Harrison’s Principles of Internal Medicine 17th edition.vol.2:1565.

  • Kumar,Abbas,Fausto, :Robbins and Cotran, Pathologic basis of Disease ,7th edition , 532-534.

  • Felix Ma and J.F. Moriny, Atypical presentation and intra operative complication in a case of Aortic dissection , MJ M 1996 ,2 : 66 -68.

  • Ronny Cohen,MD FACC, Derrick Mena ,MD, Roger Carbajal-Mendoza, MD, Olugbenga Arole MD,and Jose O Mejia MD; A case report on asymptomatic ascending aortic dissection; Int. J Angio 2008 Autumn ,17(3): 155-161.

  • Maen Nussir, Jamil Y Abuzetun Azamuddin Khaja and Mary Dohrmann A case of Aortic dissection in Cocaine abuser cases: Journal 2008, 1:369 doi:10.1186/1757-1626-1-369.


Abstract Views: 331

PDF Views: 0




  • Aortic Dissection-a Case Report

Abstract Views: 331  |  PDF Views: 0

Authors

A. Deshmukh
School of Medical Science & Research, Sharda Hospital, Greater Noida, India
Geeta Deshmukh
School of Medical Science & Research, Sharda Hospital, Greater Noida, India

Abstract


Aortic dissection: is a catastrophic illness characterized by dissection of blood between and along the laminar planes of the media with formation of blood filled channel within the aortic wall which often ruptures out ward and cause severe hemorrhage.3 In such cases quick and timely diagnosis can save a life from Aortic catastrophe. Therefore we think it is important to report this case.

Case Presentation: This case is young man who presented with pain in abdomen, dizziness and loss of sensation in right hand in Sharda Hospital Greater Noida. The patient was referred to Cardiology Department and Echocardiography was done which suggested the diagnosis of Dissection of ascending aorta with aortic regurgitation. Case was referred for Surgery.

Bentall procedure: through sternotomy on CPB was performed and life was saved.

Conclusion: Aortic dissection is a fatal condition .A high clinical index of suspicion and correct diagnosis on Echocardiography is essential to save the life. If the patient 's history suggests neurovascular deficit as in our case , non invasive diagnostic procedure such as ECHOCARDIOGRAPHY should be performed promptly to rule out aortic dissection which is life threatening condition.


Keywords


Aortic Dissection, Echocardiography, Intimal Tear, Dissection Flap, Aortic Regurgitation, Debakey Classification, Stanford Classification Type A

References