Clinical Case Database / Category: Patient Management
Acute aortic dissection
Dr Anna Reid, Dr Joanne Corkan, Dr Simrit Ghatorae, FY1, Dr Sanjay Arya
Foundation Years Journal, volume 8, issue 2, p.6 (123Doc Education, London, February 2014)
Acute aortic dissection is the most common, life-threatening pathology affecting this vessel. It is caused by an intimal tear occurring in the wall of the aorta leading to a dissection plane within the media, separating the intima from the overlying adventitia. There is high risk of aortic rupture. Patients most at risk are those with connective tissue disorders and general cardiovascular risk factors, especially hypertension. Typically it presents with tearing chest pain, but can present atypically with collapse, myocardial ischaemia or neurological deficits.
Patients can be misdiagnosed initially. We present two cases of aortic dissection highlighting differences in presentation and management between the different types of aortic dissection, and review current literature regarding optimal investigation and follow up.
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Dr Anna Reid
Cardiology Specialist Registrar, North Western Deanery
Dr Joanne Corkan
Consultant Radiologist, Wrightington, Wigan & Leigh NHS Foundation Trust
Dr Simrit Ghatorae, FY1
Wrightington, Wigan & Leigh NHS Foundation Trust
Dr Sanjay Arya
Wrightington, Wigan & Leigh NHS Foundation Trust
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