Ansari-Ramandi Mohammad Mostafa, Alemzadeh-Ansari Mohammad Javad, Firoozi Ata
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences , Tehran, Iran .
Assistant Professor, Department of Cardiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences , Tehran, Iran .
J Clin Diagn Res. 2016 May;10(5):OD33-4. doi: 10.7860/JCDR/2016/18640.7854. Epub 2016 May 1.
Although the aortic dissection is not common, its outcome is frequently fatal, and many patients with aortic dissection die before referral to the hospital or any diagnostic testing. The symptoms of aortic dissection can be similar to myocardial ischemia. A 66-year-old male was referred to our hospital with suspicion of aortic dissection after echocardiography done for evaluating his high blood pressure. He had symptoms of acute coronary syndrome two years before and had done coronary angiography. On presentation to our hospital he had a high blood pressure. On reviewing his past medical history and examining, in the film of coronary angiography, the dissection flap in ascending aorta was identified. Although type A aortic dissection is a catastrophic condition with high mortality and requires prompt surgical treatment but in some cases it may be misdiagnosed as acute coronary syndrome. Sometimes against its high mortality when left untreated, patients survive and are diagnosed later in life incidentally. So it is of great importance to have great clinical suspicion for aortic dissection in patients referring to the hospital with chest pain and the predisposing factors.
尽管主动脉夹层并不常见，但其后果往往是致命的，许多主动脉夹层患者在转诊至医院或进行任何诊断检查之前就死亡了。主动脉夹层的症状可能与心肌缺血相似。一名66岁男性因评估高血压而进行超声心动图检查后，被怀疑患有主动脉夹层转诊至我院。他两年前曾有急性冠状动脉综合征症状并接受过冠状动脉造影。就诊时他患有高血压。回顾其既往病史并检查后，在冠状动脉造影片子上发现了升主动脉内的夹层瓣。虽然A型主动脉夹层是一种死亡率很高的灾难性疾病，需要及时进行手术治疗，但在某些情况下可能会被误诊为急性冠状动脉综合征。有时尽管未经治疗死亡率很高，但患者仍存活并在之后的生活中被偶然诊断出来。因此，对于因胸痛和易感因素前来医院就诊的患者，高度怀疑主动脉夹层具有重要意义。
