Professional paper

Dissection of thoracic aortic aneurysm

Ile Raštegorac ; General county hospital Požega, Department of cardiology
Vlado Dujmović ; General county hospital Požega, Department of cardiology
Ivan Barišić ; General county hospital Požega, Department of cardiology
Petar Petrić ; General county hospital Požega, Department of nephrology
Zvonimir Gugić ; General county hospital Požega, Department of gastroenterology

Abstract

Aneurysm is an abnormal enlargement of the arteries caused by the weakening of the arterial wall.
Frequent causes of enlargement are: hypertension, atherosclerosis, infection, trauma, and acquired and hereditary connective tissue diseases. Extension of the thoracic aortic wall with dissection is difficult, a complex clinical condition that often results in death. Patients who do not die immediately, complain of severe chest pain, they are hypotensive and in shock. They bleed usually in the pericardial and pleural space.
The diagnosis is based on clinical symptoms, X-ray and ultrasound, or the three-dimensional imagery, transesophageal ultrasound (TEE), computed angiography (CTA).
In this article we report a patient walking around without medical treatment for two weeks while he was traveling 1000 kilometers without adequate medical accompaniment, and he was cured, even with delayed diagnostic and therapeutic measures. Through discussion we emphasize the importance of early diagnosis confirmation, in order to act therapeutically and surgically and thus improve the quality and length of life of these patients.

Keywords

transesophageal ultrasound; computed angiography; aneurysm; dissection

Hrčak ID:

133217

URI

https://hrcak.srce.hr/133217

Publication date:

14.1.2015.

Article data in other languages: croatian

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