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Signa vitae : journal for intesive care and emergency medicine, Vol. 5. No. 2., 2010.

Professional paper

Misdiagnosed acute aortic dissection type A

Jana Makuc orcid id orcid.org/0000-0002-4201-5054 ; Slovenj Gradec General Hospital, Department of Internal Medicine, Gosposvetska 1, SI-2380 Slovenj Gradec
Martin Tretjak ; Slovenj Gradec General Hospital, Department of Internal Medicine, Gosposvetska 1, SI-2380 Slovenj Gradec

Full text: english pdf 72 Kb

page 35-37

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Abstract

In the absence of diagnostic imaging, chest pain can represent a diagnostic dilemma, especially, if the patient's condition requires immediate action. We present a case of a patient with signs of obstructive shock that turned out to result from an acute aortic dissection (AAD) and consequent cardiac tamponade. Before the correct diagnosis was made, myocardial infarction and/or pulmonary embolism were suspected and the patient was treated with antithrombotic and anticoagulant drugs, which are contraindicated in AAD. We discuss the correct procedures and treatment in suspected AAD.

Keywords

acute aortic dissection; Stanford type A; misdiagnosis

Hrčak ID:

60171

URI

https://hrcak.srce.hr/60171

Publication date:

1.10.2010.

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