ISSN: 2155-9880
+44 1300 500008
Serigne Abdou Ba
Senegal
Case Report
Double Emergency Associating Acute Aortic Dissection and Pulmonary Embolism of Fatal Evolution: About a Case
Author(s): Malick Bodian, Aissata Samba Guindo, Fatou Aw, Carole Fadilath Yékiny, Simon Antoine Sarr, Demba Waré Baldé, Ibrahima Sory Sylla, Malick Ndiaye, Marguerite Tening Diouf, Mouhamadou Bamba Ndiaye, Aliou Alassane Ngaidé, Momar Dioum, Serigne Mor Beye, Wally Niang Mboup, Youssou Diouf, Cheikh Mouhamadou Bamba Mbacke Diop, Alassan
Malick Bodian, Aissata Samba Guindo, Fatou Aw, Carole Fadilath Yékiny, Simon Antoine Sarr, Demba Waré Baldé, Ibrahima Sory Sylla, Malick Ndiaye, Marguerite Tening Diouf, Mouhamadou Bamba Ndiaye, Aliou Alassane Ngaidé, Momar Dioum, Serigne Mor Beye, Wally Niang Mboup, Youssou Diouf, Cheikh Mouhamadou Bamba Mbacke Diop, Alassan
Pulmonary embolism and acute aortic dissection are two formidable cardio-vascular emergencies. Their association, although exceptional, is burdened with a heavy mortality in the absence of an early and adapted surgery. We report a case of Standford acute type A aortic dissection associated with fatal pulmonary embolism. This is a 66-years old man with a notion of a long trip received for prolonged chest pain since 3 days, of sudden onset, maximal intensity, tearing, transfixing, migratory, radiating towards the back and the loins, exacerbated by breathing. The examination noted 120 bpm tachycardia, 70% SaO2 desaturation, asymetric blood pressure and asymetric pulse, aortic insufficiency murmur and bilateral crackling rettles at lungs. The chest X-ray showed an enlargement of the upper mediastinum with double-contoured image. The electrocardiogram recorded a regular sinus ta.. View More»
DOI:
10.4172/2155-9880.1000617