Department of Cardiac Surgery, Leviev Cardiothoracic and Vascular Center, Tel Aviv University, Tel Aviv, Israel.
Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
J Card Surg. 2021 Apr;36(4):1566-1568. doi: 10.1111/jocs.15389. Epub 2021 Feb 2.
Acute aortic dissection and acute pulmonary embolism (PE) are life-threatening emergencies that can mimic each other at presentation. Immediate and accurate diagnosis of these scenarios is crucial to initiate the appropriate interventions. In this case report we present a 73-year-old patient, who was admitted to our Medical Center with acute type A aortic dissection. She was tested for coronavirus disease 2019 (COVID-19) infection and was found to be positive. During her admission in the COVID-19 designated intensive care unit, she diagnosed with acute PE in the main right and left pulmonary arteries. She underwent surgery that included bilateral pulmonary embolectomy and aortic dissection repair. The patient was discharged from our hospital on the ninth postoperative day without any complications. Frequency of simultaneous presentation of acute aortic dissection and acute PE is increased with a history of coagulation abnormalities as seen in patients with COVID-19.
急性主动脉夹层和急性肺栓塞（PE）是危及生命的紧急情况，在表现上可能相互模仿。立即准确地诊断这些情况对于启动适当的干预至关重要。在本病例报告中，我们介绍了一位 73 岁的患者，她因急性 A 型主动脉夹层被收入我们的医疗中心。她接受了 2019 年冠状病毒病（COVID-19）感染检测，结果呈阳性。在她入住 COVID-19 指定的重症监护病房期间，她被诊断出主右和左肺动脉中的急性 PE。她接受了手术，包括双侧肺动脉血栓切除术和主动脉夹层修复术。患者术后第 9 天无任何并发症出院。在 COVID-19 患者中，由于凝血异常的病史，急性主动脉夹层和急性 PE 同时出现的频率增加。
