Popielarz-Grygalewicz Agata, Snopek Grazyna, Borys Marcin, Hendzel Piotr, Dabrowski Marek, Szałański Piotr, Rakowska Katarzyna
Kliniczny Oddział Kardiologii, Szpital Bielański, 01-809 Warszawa.
Kardiol Pol. 2009 Mar;67(3):295-7; discussion 298.
We present a case of 80-year-old woman with a history of paroxysmal atrial fibrillation admitted to the cardiology department due to syncope and chest pain with suspicion of pulmonary embolism. In course of further diagnostics the initial diagnosis was excluded and anticoagulant treatment was stopped. The real cause of the above signs and symptoms was aortic dissection. It was diagnosed by echocardiography and confirmed by CT scan. Patient was immediately transferred to the cardiosurgery department and successfully operated. The patient was discharged after 33 days in good condition.
我们报告一例80岁女性患者，有阵发性心房颤动病史，因晕厥和胸痛入院，怀疑有肺栓塞，入住心内科。在进一步诊断过程中，排除了初始诊断并停止了抗凝治疗。上述症状和体征的真正原因是主动脉夹层。通过超声心动图诊断，并经CT扫描证实。患者立即被转至心外科并成功接受手术。患者在33天后康复出院，状况良好。
