Aortic dissection (AD) and pulmonary embolism (PE) are both serious and life-threatening conditions that rarely occur concomitantly. We report a case of a male patient with chronic aortic dissection, pulmonary embolism and decompensated cardiomyopathy with focus on the usage of computed tomography (CT) to ensure timely diagnosis and improve patient management. Case report: Aortic dissection (AD) and pulmonary embolism (PE) are both serious and life-threatening conditions that rarely occur concomitantly. We report a case of a 55-year-old man who was admitted to Coronary care unit due to pulmonary embolism and aortic dissection of abdominal aorta. Conclusion: This case highlights the importance of correct aortic dissection diagnosis and management, as well as the rare but possible association between aortic dissection and pulmonary embolism.
References
1.
DeSanctis RW, Doroghazi RM, Austen WG, Buckley MJ. Aortic Dissection. Vol. 317, New England Journal of Medicine. 1987. p. 1060–7.
2.
Morris-Stiff G, Coxon M, Ball E, Lewis MH. Post coital aortic dissection: a case report. Vol. 2, Journal of Medical Case Reports. 2008.
3.
Khan IA, Nair CK. Clinical, Diagnostic, and Management Perspectives of Aortic Dissection. Vol. 122, Chest. 2002. p. 311–28.
4.
Marek D, Nemec P, Herman M, Gwozdziewicz M, Troubil M, Lukl J. MISTAKES IN DEALING WITH AORTIC DISSECTION. LESSONS FROM THREE WARNING CASES. Vol. 152, Biomedical Papers. 2008. p. 283–7.
5.
Blanke P, Apfaltrer P, Ebersberger U, Schindler A, Langer M, Schoepf UJ. CT Detection of Pulmonary Embolism and Aortic Dissection. Vol. 30, Cardiology Clinics. 2012. p. 103–16.
6.
Semiz-Oysu A, Okur A, Sahin S. Pulmonary multislice computed tomography findings in acute aortic dissection. Vol. 4. 2012. p. 485–9.
7.
Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD). Vol. 283, JAMA. 2000. p. 897.
8.
Erbel R. Diagnosis and management of aortic dissection Task Force on Aortic Dissection, European Society of Cardiology. Vol. 22, European Heart Journal. 2001. p. 1642–81.
9.
Stein PD, Sostman HD, Hull RD, Goodman LR, Leeper KV, Gottschalk A, et al. Diagnosis of Pulmonary Embolism in the Coronary Care Unit. Vol. 103, The American Journal of Cardiology. 2009. p. 881–6.
10.
Tsai TT, Trimarchi S, Nienaber CA. Acute Aortic Dissection: Perspectives from the International Registry of Acute Aortic Dissection (IRAD). Vol. 37, European Journal of Vascular and Endovascular Surgery. 2009. p. 149–59.
11.
Chew HC, Lim SH. Aortic dissection presenting with atrial fibrillation. Vol. 24, The American Journal of Emergency Medicine. 2006. p. 379–80.
12.
den Uil CA, Caliskan K, Bekkers JA. Intractable supraventricular tachycardia as first presentation of thoracic aortic dissection. Vol. 144, International Journal of Cardiology. 2010. p. e5–7.
13.
Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, et al. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease. Vol. 121, Circulation. 2010.
14.
Yoo HH, Queluz TH, El Dib R. Anticoagulant treatment for subsegmental pulmonary embolism. Cochrane Database of Systematic Reviews.
15.
National Institute for Health and Clinical Excellence. Clinical guideline 144: Venous thromboembolic diseases: the management of venous thromboembolic diseases and the role of thrombophilia testing. 2012.
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