Affiliation:
1. Department of Cardiology, University Hospital of Giessen, Giessen , Germany
Abstract
ABSTRACT
We describe the case of a 68-year-old patient who was admitted to the trauma unit with anisocoria after pre-hospital resuscitation upon loss of consciousness. An intracranial bleeding was ruled out. The patient was admitted to the cardiology ward with the initial diagnosis of a syncope due to myocarditis, as myocardial necrosis markers were slightly elevated. The suspicion of an acute aortic dissection (AAD) was raised when the patient developed kidney failure and a progressive aortic regurgitation. He underwent emergency surgery for an acute type A AAD. Renal function recovered completely and, fortunately, the patient was discharged 10 days later.
Reference12 articles.
1. 1. Pate JW, Richardson RL, Eastridge CE. Acute aortic dissections. Am Surg. 1976;42:395-404.
2. 2. Wheat MW. Treatment of dissecting aneurysms of the aorta: current status. Prog Cardiovasc Dis. 1973;16:87-101.10.1016/0033-0620(73)90006-6
3. 3. Hagan PG, Nienaber CA, Isselbacher EM, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000;283:897-903.10.1001/jama.283.7.897
4. 4. Coselli J, LeMaire S. Thoracic aortic aneurysms and aortic dissections. In: Brunicardi FC, ed. Schwartz's principles of surgery: McGraw-Hill/New York; 2004.
5. 5. Jamieson WR, Munro AI, Miyagishima RT, Allen P, Tyers GF, Gerein AN. Aortic dissection: early diagnosis and surgical management are the keys to survival. Can J Surg. 1982;25:145-149.