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Case Reports
. 2021 Jan 28;13(1):e12952.
doi: 10.7759/cureus.12952.

Simultaneous Aortic Dissection and Pulmonary Embolism: A Therapeutic Dilemma

Baikuntha Chaulagai  1 , Deepak Acharya  1 , Sangam Poudel  2 , Pradeep Puri  3
Affiliations
Case Reports

Simultaneous Aortic Dissection and Pulmonary Embolism: A Therapeutic Dilemma

Baikuntha Chaulagai et al. Cureus. .

Abstract

Aortic dissection and pulmonary embolism are medical emergencies that present with a spectrum of symptoms. Most cases of aortic dissection can present with acute chest pain, though some cases may present with other spectra of symptoms. In rare cases, aortic dissection can present simultaneously with pulmonary embolism. We are presenting a case where we saw aortic dissection and pulmonary embolism simultaneously. This case shows the subtle and atypical presentation of simultaneous occurrence of these two highly fatal diseases. To our knowledge, this case has not been published before.

Keywords: aortic dissection; pulmonary embolism.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CT angiography showing embolus and aortic dissection in descending aorta
Figure 2
Figure 2. Coronal view showing small emboli and aortic dissection in descending aorta
Figure 3
Figure 3. Sagittal view showing aortic dissection in descending aorta
See this image and copyright information in PMC

References

    1. Population-based study of incidence and outcome of acute aortic dissection and premorbid risk factor control: 10-year results from the Oxford Vascular Study. Howard DPJ, Banerjee A, Fairhead JF, Perkins J, Silver LE, Rothwell PM. Circulation. 2013;127:2031–2037. - PMC - PubMed
    1. Thoracic aortic aneurysm and dissection. Olsson C, Thelin S, Ståhle E, Ekbom A, Granath F. Circulation. 2006;114:2611–2618. - PubMed
    1. Successful repair of concomitant acute type A aortic dissection and saddle pulmonary embolism. Ramponi F, Papps T, Edwards J. Aorta Stamford Conn. 2018;6:34–36. - PMC - PubMed
    1. Diagnosis of acute pulmonary embolism. Righini M, Robert-Ebadi H, Le Gal G. J Thromb Haemost. 2017;15:1251–1261. - PubMed
    1. Type A aortic dissection mimicking saddle pulmonary embolism on CT imaging. Chong WH, Saha BK, Wang C, Beegle S. J Am Coll Emerg Physicians Open. 2020;1:132–136. - PMC - PubMed

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