Aortic dissection—Pulmonary embolism association: A therapeutic dilemma

Autor: Bénilde Marie-Ange Tiemtoré-Kambou, Doctor, Adjirata Koama, Doctor, Solange Kontogom, Doctor, Joelle Zabsonré/Tiendrébéogo, Dr, Donald Bayala, Doctor, Nina Astrid Ndé/Ouédraogo, Doctor, Moussa Zanga, Doctor, Aischa Madina Napon, Professor, Ousséini Diallo, Professor, Claudine Lougue-Sorgho, Professor, Rabiou Cissé, Professor
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Radiology Case Reports, Vol 17, Iss 8, Pp 2779-2783 (2022)
Druh dokumentu: article
ISSN: 1930-0433
33619484
DOI: 10.1016/j.radcr.2022.04.045
Popis: Aortic dissection is a rare but serious condition. Its association with pulmonary embolism is exceptional and produces a real therapeutic dilemma. We are discussing the case of a 67-year-old male patient who presented with paraplegia with infectious syndrome. The chest X-ray performed to screen for an infectious site led to the suspicion of an aortic aneurysm and the CT angiography showed Stanford type B aortic dissection associated with bilateral proximal pulmonary embolism. The treatment was symptomatic and resulted in the patient's death 48 hours after diagnosis. Management of this pathological association is not standardized between establishing anticoagulant therapy and therapeutic abstention. This management depends on the teams and has a very cautious prognosis.
Databáze: Directory of Open Access Journals