Arnold Casey, Martinez Martinez Carmen J
Emergency Medicine, Advent Health Florida Hospital, Orlando, USA.
Cureus. 2019 May 25;11(5):e4752. doi: 10.7759/cureus.4752.
Acute aortic pathology demands a high index of suspicion and frequent reevaluations during emergency department (ED) stay for proper diagnosis. This high index of suspicion is crucial to avoid missing the potentially devastating aortic diagnosis. Here, we present a 59-year-old male who presented with chest pain and was ultimately diagnosed with a rare aortic bifurcation saddle thrombus causing acute aortic occlusion. This diagnosis, although rare, highlights a more common point that all patients should be reevaluated for an acute aorta, especially when diagnostic clues are present. The diagnosis was found only because of a thorough reevaluation. Missing the diagnosis would have resulted in death or lifetime dependence on hemodialysis.
急性主动脉病变需要高度怀疑指数，并在急诊科（ED）留观期间进行频繁的重新评估以做出正确诊断。这种高度怀疑指数对于避免漏诊潜在的致命性主动脉疾病至关重要。在此，我们报告一名59岁男性，他因胸痛就诊，最终被诊断为罕见的主动脉分叉部马鞍形血栓形成导致急性主动脉闭塞。尽管这种诊断很罕见，但它突出了一个更常见的要点，即所有患者都应重新评估是否存在急性主动脉病变，尤其是当存在诊断线索时。仅通过全面的重新评估才得以确诊。漏诊将会导致死亡或终身依赖血液透析。
