Acute thoracic aortic dissection (Stanford B): challenges in early detection and management

Background: Diagnosis of acute thoracic dissection is crucial given its potential fatal complications in delayed treatment response. Early and appropriate intervention renders obviation of futile surgery. Case report: A 63 years old man with uncontrolled hypertension who presented to emergency de...

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Main Authors: Abdullah, Noraini Sarina, Ahmad Saad, Fathinul Fikri
Format: Article
Language:English
Published: OMICS International 2015
Online Access:http://psasir.upm.edu.my/id/eprint/43656/
http://psasir.upm.edu.my/id/eprint/43656/1/abstract123.pdf
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author Abdullah, Noraini Sarina
Ahmad Saad, Fathinul Fikri
author_facet Abdullah, Noraini Sarina
Ahmad Saad, Fathinul Fikri
author_sort Abdullah, Noraini Sarina
building UPM Institutional Repository
collection Online Access
description Background: Diagnosis of acute thoracic dissection is crucial given its potential fatal complications in delayed treatment response. Early and appropriate intervention renders obviation of futile surgery. Case report: A 63 years old man with uncontrolled hypertension who presented to emergency department with sharp excruciating chest pain which radiated to the back. A Computed Tomography Angiography (CTA) was done which confirmed thoracic aortic dissection (Stanford type B) (Figures 1 and 2). An uneventful endovascular stent graft with Captivia system was done to contain the entry tear. The patient was doing well post procedure with well-controlled blood pressure. Conclusion: This case reports documents challenges in making immediate diagnosis of acute aortic dissection and in providing appropriate intervention to avert fatal outcomes.
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spelling upm-436562016-08-08T03:31:11Z http://psasir.upm.edu.my/id/eprint/43656/ Acute thoracic aortic dissection (Stanford B): challenges in early detection and management Abdullah, Noraini Sarina Ahmad Saad, Fathinul Fikri Background: Diagnosis of acute thoracic dissection is crucial given its potential fatal complications in delayed treatment response. Early and appropriate intervention renders obviation of futile surgery. Case report: A 63 years old man with uncontrolled hypertension who presented to emergency department with sharp excruciating chest pain which radiated to the back. A Computed Tomography Angiography (CTA) was done which confirmed thoracic aortic dissection (Stanford type B) (Figures 1 and 2). An uneventful endovascular stent graft with Captivia system was done to contain the entry tear. The patient was doing well post procedure with well-controlled blood pressure. Conclusion: This case reports documents challenges in making immediate diagnosis of acute aortic dissection and in providing appropriate intervention to avert fatal outcomes. OMICS International 2015 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/43656/1/abstract123.pdf Abdullah, Noraini Sarina and Ahmad Saad, Fathinul Fikri (2015) Acute thoracic aortic dissection (Stanford B): challenges in early detection and management. OMICS Journal of Radiology, 4 (4). p. 2. ISSN 2167-7964 http://www.omicsgroup.org/journals/acute-thoracic-aortic-dissection-stanford-b-challenges-in-early-detectionand-management-2167-7964-1000200.pdf 10.4172/2167-7964.1000200
spellingShingle Abdullah, Noraini Sarina
Ahmad Saad, Fathinul Fikri
Acute thoracic aortic dissection (Stanford B): challenges in early detection and management
title Acute thoracic aortic dissection (Stanford B): challenges in early detection and management
title_full Acute thoracic aortic dissection (Stanford B): challenges in early detection and management
title_fullStr Acute thoracic aortic dissection (Stanford B): challenges in early detection and management
title_full_unstemmed Acute thoracic aortic dissection (Stanford B): challenges in early detection and management
title_short Acute thoracic aortic dissection (Stanford B): challenges in early detection and management
title_sort acute thoracic aortic dissection (stanford b): challenges in early detection and management
url http://psasir.upm.edu.my/id/eprint/43656/
http://psasir.upm.edu.my/id/eprint/43656/
http://psasir.upm.edu.my/id/eprint/43656/
http://psasir.upm.edu.my/id/eprint/43656/1/abstract123.pdf