A Rare Case of 7 Simultaneous Arterial Dissections and Review of The Literature
| Autor: | Daphna Amitai Komem, Yair Levy, Ali Shnaker, Jonathan Weissmann, Rivka Sukenik Halevy, Simone Fajer, Yigal Griton |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Computed Tomography Angiography Dissection (medical) 030204 cardiovascular system & hematology 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine Risk Factors Rare case Humans Medicine Genetic Predisposition to Disease Artery dissection Arterial dissection business.industry Endovascular Procedures 030208 emergency & critical care medicine General Medicine Middle Aged medicine.disease Aortic Dissection Viscera Collagen Type III Phenotype Treatment Outcome Iliac Aneurysm Mutation Female Surgery Radiology Cardiology and Cardiovascular Medicine business Carotid Artery Internal |
| Zdroj: | Vascular and Endovascular Surgery. 53:617-622 |
| ISSN: | 1938-9116 1538-5744 |
| DOI: | 10.1177/1538574419864783 |
| Popis: | Objective: Spontaneous multiple artery dissection is a relatively rare phenomenon. Early clinical signs are often nonspecific, making it difficult to diagnose. Case Report: This is a case of a 51-year-old female who presented with spontaneous dissection of 4 visceral arteries, both iliac arteries, and of the right internal carotid artery. The patient underwent urgent successful endovascular repair. Later complications included acute respiratory distress syndrome and pneumonia after massive blood transfusion. She recovered gradually and was discharged after 21 days. Due to this rare presentation, genetic investigation was performed in search of a connective tissue disorder. Results revealed a new COL3A1 subtype mutation. The pathogenicity of this variant remains unclear. Conclusion: We recommend a high index of suspicion for visceral artery dissection in the differential diagnosis for abdominal pain with concurrent uncontrolled hypertension. Early diagnosis and intervention are crucial to reducing the mortality rate. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|