The importance of clinical suspicion in the diagnosis of a successfully managed case with De Bakey Type 1 acute aortic dissection: A case report
A. Ebru Salman1, Muzaffer Çeliksoy2, Fahri Yetişir3, Şevket Atasoy2, Fehmi Katırcıoğlu2
1Clinic of Anesthesiology, Ministry of Health Ankara Etlik Teaching Hospital, Ankara, Turkey
2Clinic of Cardiothoracic Surgery, Ministry of Health Ankara Etlik Teaching Hospital, Ankara, Turkey
3Clinic of General Surgery, Ministry of Health Ankara Etlik Teaching Hospital, Ankara, Turkey
Abstract
Type 1 aortic dissection is a catastrophic clinical entity originating from the ascending aorta. Clinical suspicion in patients with epigastric pain, chest pain and gastrointestinal symptoms might be life saving. Aortic dissection and acute mesenteric ischemia might be confusing in diagnosis of patients with epigastric pain, chest pain, gastrointestinal symptoms and high white blood cell count and D-dimer. In this case report of a a patient who was admitted to the emergency room with a presentation resembling acute mesenteric ischemia, this diagnosis was excluded within the first 24 hours as a result of clinical suspicion. In this case report, the successful management in diagnosis and treatment of a 30-year-old male patient with type 1 aortic dissection is discussed in light of the literature.
This case was presented in the 16th national intensive care symposium (p-39) 51-2 pp, (25-29 April 2012, Belek, Antalya, Turkey)
Keywords: Aortic dissection, chest pain, acute mesenteric ischemia
Written informed consent was obtained from patient who participated in this study.
Externally peer-reviewed.
Concept - A.E.S., F.Y.; Design - A.E.S., F.Y.; Data Collection and/or Processing - M.Ç., S.A.; Analysis and/or Interpretation - A.E.S., F.Y., F.K.; Writer - A.E.S., F.Y., M.Ç.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.