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Case Report

Open Access

Misdiagnosed acute aortic dissection type A

  • JANA MAKUC1
  • MARTIN TRETJAK1

1Dept Internal Med, Gosposvetska 1

DOI: 10.22514/SV52.112010.7 Vol.5,Issue 2,November 2010 pp.35-37

Published: 01 November 2010

*Corresponding Author(s): JANA MAKUC E-mail: jana.makuc@sb-sg.si

Abstract

In the absence of diagnostic imaging, chest pain can represent a diagnostic dilemma, especially, if the patient’s condition requires immediate action. We present a case of a patient with signs of obstructive shock that turned out to result from an acute aortic dissection (AAD) and consequent cardiac tamponade. Before the correct diagnosis was made, myocardial infarction and/or pulmonary embolism were suspected and the patient was treated with antithrombotic and anticoagulant drugs, which are contraindicated in AAD. We discuss the correct procedures and treatment in suspected AAD.

Keywords

acute aortic dissection, Stanford type A, misdiagnosis

Cite and Share

JANA MAKUC,MARTIN TRETJAK. Misdiagnosed acute aortic dissection type A. Signa Vitae. 2010. 5(2);35-37.

References

2. No􀀁 M. Sudden excruciating chest pain - prehospital management. In: Grmec Š, Tušek-Bunc K, Kupnik D, editors. Acute conditions: signs, symptoms, syndromes, differential diagnosis and management: proceedings and algorithms. Maribor: Slovene Family Medicine Society SZD; 2003. p. 21-4.

3. Benko D, Tretjak M, Rainer S. Cardiac tamponade resulting from acute aortic dissection type A – case report and diagnostic approach. In: Bru􀀁an A, Gri􀀁ar M, Klan􀀁ar S, Fink A, editors. Emergency medicine: selected topics 6. Ljubljana: Slovenian Society for Emergency Medicine; 2000. p. 441-6.

4. Ayrik C, Cece H, Aslan O, Karcioglu O, Yilmaz E. Seeing the invisible: painless aortic dissection in the emergency setting. Emerg Med J 2006;23(3):24.

5. Nadour W, Goldwasser B, Biederman RW, Taffe K. Silent aortic dissection presenting as transient locked-in syndrome. Tex Heart Inst J 2008; 35(3):359-61.

6. Auer J, Berent R, Eber B. Aortic dissection: incidence, natural history and impact of surgery. J Clin Basic Cardiol 2000;3:151-4.

7. Hansen MS, Nogareda GJ, Hutchison SJ. Frequency of and inappropriate treatment of misdiagnosis of acute aortic dissection. Am J Cardiol 2007;99(6):852-6.

8. Luo JL, Wu CK, Lin YH, Kao HL, Lin MS, Ho YL, et al. Type A aortic dissection manifesting as acute myocardial infarction: still a lesson to learn. Acta Cardiol 2009;64 (4):499-504.

9. Asouhidou I, Asteri T. Acute aortic dissection: be aware of misdiagnosis. BMC Res Notes 2009;2:25.

10. Marek D, Nemec P, Herman M, Gwozdziewicz M, Troubil M, Lukl J. Mistakes in dealing with aortic dissection. Lessons from three warning cases. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2008;152(2):283–27.

11. Erbel R, Alfonso F, Boileau C, Dirsch O, Eber B, Haverich A, et al. Recommendations of the Task Force on Aortic Dissection, European Society of Cardiology. Diagnosis and management of aortic dissection. Eur Heart J 2001;22:1642–81.

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