Aortic dissection as a component of multiple aortic alterations. Case report

Authors

  • Geovedy Martínez García Hospital Militar Central Dr. Carlos Juan Finlay. Marianao, La Habana, Cuba.
  • Roger Ravelo Dopico Hospital Militar Central Dr. Carlos Juan Finlay. Marianao, La Habana, Cuba.
  • Eliset Valdés Carrazana Hospital Militar Central Dr. Carlos Juan Finlay. Marianao, La Habana, Cuba.
  • Liz O. Cruz Rodríguez Hospital Militar Central Dr. Carlos Juan Finlay. Marianao, La Habana, Cuba.
  • Yoanis Cárdenas Fernández Hospital Militar Central Dr. Carlos Juan Finlay. Marianao, La Habana, Cuba.

Abstract

The acute aortic dissection is the most common fatal event affecting the aorta and its early mortality is very high. The most common risk factor is high blood pres-sure, while others are described, like the aortic diseases, traumatisms, and smoking. The case of a 63-year-old patient is described, which had a history of hypertension and who reaches the Emergency Room with severe chest pain spreading to the abdomen and back. A computed tomography angiography was carried out and a DeBakey type IIIb aortic dissection was diagnosed, with extension to the right common femoral artery. There were also diagnosed two congenital malformations: emergency of the left common carotid artery and arterial brachiocephalic trunk from a single common trunk (bovine aortic arch), and a remnant of the ductus arteriosus. After a month of hospitalization, the patient was discharged from the service with clinical stability, awaiting elective surgery.

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Published

2017-04-14

How to Cite

1.
Martínez García G, Ravelo Dopico R, Valdés Carrazana E, Cruz Rodríguez LO, Cárdenas Fernández Y. Aortic dissection as a component of multiple aortic alterations. Case report. CorSalud [Internet]. 2017 Apr. 14 [cited 2025 Jul. 30];9(2):123-7. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/207

Issue

Vol. 9 No. 2 (2017)

Section

CASE REPORTS

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