https://doi.org/10.4081/ecj.2024.12633
Aortic dissection presenting with respiratory failure: case report and literature
Submitted: 10 May 2024
Accepted: 31 July 2024
Published: 2 September 2024
Accepted: 31 July 2024
Abstract Views: 230
PDF: 98
Supplementary Materials: 29
VIDEO: 45
Supplementary Materials: 29
VIDEO: 45
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Due to its nonspecific symptoms, in several cases, Acute Aortic Dissection (AAD) is a difficult-to-diagnose urgent condition. The torn intimal layer initiates a false lumen, which can potentially propagate and cause life-threatening ruptures or organ ischemia. Intramural hematoma can rarely develop inside the false lumen, resulting in compression of surrounding structures and worsening the patient’s prognosis. We report a case of AAD - Stanford Type A complicated by an intramural hematoma compressing the pulmonary artery, accompanied by a discussion of relevant literature. This patient presented to the emergency department with acute respiratory distress; clinical and initial diagnostic findings mimicked pulmonary embolism. However, a systematic differential evaluation supported by point-of-care ultrasound allowed a prompt diagnosis of AAD and avoided fixation errors.
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How to Cite
Gherardi, S., Ippolito, R., Pasqualin, S., Cianci, V., & Paganini, M. (2024). Aortic dissection presenting with respiratory failure: case report and literature. Emergency Care Journal, 20(3). https://doi.org/10.4081/ecj.2024.12633
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