Citation
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
Abstract
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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