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Case Reports
. 2018 Feb;6(1):34-36.
doi: 10.1055/s-0038-1639345. Epub 2018 Jul 27.

Successful Repair of Concomitant Acute Type A Aortic Dissection and Saddle Pulmonary Embolism

Affiliations
Case Reports

Successful Repair of Concomitant Acute Type A Aortic Dissection and Saddle Pulmonary Embolism

Fabio Ramponi et al. Aorta (Stamford). 2018 Feb.

Abstract

Patients presenting with acute onset of chest pain require prompt diagnosis and rapid establishment of a management plan. Acute aortic dissection and acute pulmonary embolism are life-threatening emergencies that can mimic each other at presentation. Correct identification of this uncommon scenario is crucial to initiate the appropriate interventions. The authors present a unique case of concomitant acute type A aortic dissection and acute saddle pulmonary embolism; the patient underwent successful aortic repair and pulmonary embolectomy.

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Conflict of interest statement

The authors declare no conflict of interest related to this article.

Figures

Fig. 1
Fig. 1
Computed tomography pulmonary angiogram showing large saddle pulmonary embolism in axial ( A ) and coronal ( B ) views. The ascending aorta is dilated and presents intraluminal abnormalities suspicious of an intimal flap.
Fig. 2
Fig. 2
Computed tomography aortogram confirming the diagnosis of acute type A aortic dissection.

References

    1. Mussa F F, Horton J D, Moridzadeh R, Nicholson J, Trimarchi S, Eagle K A. Acute aortic dissection and intramural hematoma: a systematic review. JAMA. 2016;316(07):754–763. - PubMed
    1. Sardi A, Gluskin J, Guttentag A, Kotler M N, Braitman L E, Lippmann M. Saddle pulmonary embolism: is it as bad as it looks? A community hospital experience. Crit Care Med. 2011;39(11):2413–2418. - PubMed
    1. Suzuki T, Distante A, Zizza A et al.Diagnosis of acute aortic dissection by D-dimer: the International Registry of Acute Aortic Dissection Substudy on Biomarkers (IRAD-Bio) experience. Circulation. 2009;119(20):2702–2707. - PubMed
    1. Lee H Y, Song I S, Yoo S M et al.Rarity of isolated pulmonary embolism and acute aortic syndrome occurring outside of the field of view of dedicated coronary CT angiography. Acta Radiol. 2011;52(04):378–384. - PubMed
    1. Pagel P S, Sidhu J, Gerstman E. Massive pulmonary thromboembolism complicating acute type-a aortic dissection or another explanation for right ventricular dilatation? J Cardiothorac Vasc Anesth. 2013;27(06):1432–1434. - PubMed

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