What May Stand Behind Chest Pain: A Case Report on Aortic Dissection

Aishwarya A, Nilu Sunil
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Abstract

Aortic dissection (AD) is a relatively uncommon, rare disorder and potentially misdiagnosed disease. Early diagnosis and treatment is required for the patient's survival. Aortic dissection can be fatal if misdiagnosed. A 50-year-old adult male presented to emergency with acute chest pain and having a medical history of aortic stenosis post-aortic valve replacement 9 months back and a family history of ischaemic heart disease. Pain was relieved by analgesics. After further investigations by echocardiography and CT Angiography, it was diagnosed as AD Standford type A and DeBakey type 1, in view of the critical nature of illness, patient attenders wanted only medical management. The patient was declared dead after 2 days of diagnosis.
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胸痛背后的原因:主动脉夹层病例报告
主动脉夹层(AD)是一种相对不常见的罕见疾病,也是一种可能被误诊的疾病。为了患者的生存,必须及早诊断和治疗。如果被误诊,主动脉夹层可能会致命。一名 50 岁的成年男性因急性胸痛急诊就诊,病史为主动脉瓣置换术后主动脉瓣狭窄 9 个月,家族史为缺血性心脏病。止痛药缓解了疼痛。经过超声心动图和 CT 血管造影的进一步检查,诊断为 AD Standford A 型和 DeBakey 1 型,鉴于病情危重,病人的主治医生只希望进行药物治疗。患者在确诊两天后宣告死亡。
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