Clinical Case Database / Category: Patient Management
Acute aortic dissection
Publication details
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)
Abstract
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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Authors
Dr Anna Reid
Cardiology Specialist Registrar, North Western Deanery
Anna.Bernadina.Reid@wwl.nhs.uk
Dr Joanne Corkan
Consultant Radiologist, Wrightington, Wigan & Leigh NHS Foundation Trust
Dr Simrit Ghatorae, FY1
Wrightington, Wigan & Leigh NHS Foundation Trust
Simrit.Ghatorae@wwl.nhs.uk
Dr Sanjay Arya
Consultant Cardiologist
Wrightington, Wigan & Leigh NHS Foundation Trust
Sanjay.Arya@wwl.nhs.uk
References
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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