Acta Scientific Medical Sciences (ISSN: 2582-0931)

Case Report Volume 4 Issue 10

Case Report “A Dissecting Aneurism of the Aortic Arch at the Left Subclavian Origin Extending to Descending Thoracic and Abdominal Aorta with False and True Lumens"

Juna Musa1*, Loran Rakovica2, Fjolla Hyseni3, Ali Guy4, Mina Mikel5, Masum Rrahman6, Marsela Ceno7, Valon Vokshi8, Viola Sulollari9, Ineida Boshnjaku9 and Nosehy Yousef10

1Postdoctoral Research Fellow, Department of Surgery, Critical Care and Trauma, Mayo Clinic, Rochester Minnesota, USA
2Medical Doctor, Faculty of Medicine, Prishtina, Kosovo
3Department of Urology, NYU Langone Health, New York, USA
4Assistant Professor, Department of Physical Medicine and Rehabilitation, New York University School of Medicine, NYU Medical Center, New York, USA
5Department of Internal Medicine Registrar, Jaber Al-Ahmed Hospital, Kuwait
6Department of Neurosurgery, Mayo Clinic, Rochester, MN-55905, USA
7Department of Surgery, Klinikum Mittelbaden Baden Baden, Germany
8Department of Anesthesiology, University Clinical Center Kosovo
9Medical Doctor, Hospital Mother Teresa, Tirane, Albania
10Department of Cardiology, El Mabarrah Hospital Health Insurance Organization, Egypt

*Corresponding Author: Juna Musa, Postdoctoral Research Fellow, Department of Surgery, Critical Care and Trauma, Mayo Clinic, Rochester Minnesota, USA.

Received: August 17, 2020; Published: September 17, 2020



Aneurysm of the descending thoracic (DTA) and thoraco-abdominal aorta (TAA) is a life-threatening disorder given the risks of aortic dissection which requires quick and accurate diagnosis. However, correct diagnosis of AAD could be difficult in some instances because of the wide variety of clinical presentations. The clinical picture depends on the aortic branches involved, the size and direction of the dissection, the duration of symptoms, and the location of intimae tear.
In this case report, 48 years old male presented with sudden onset of severe interscapular heaviness type of pain of three hours duration, associated with radiation to anterior chest wall and sweating. He is non-smoker but hypertensive. ECG showed sinus rhythm, with ST-depression and T-wave inversion in the infero-lateral leads. Timed multi-slice helical CT acquisition was taken and revealed a dissection flap of the aortic arch beginning nearly at the left subclavian origin extending up to involve the whole descending thoracic and abdominal aorta with false and true lumens. Cardio thoracic surgeon consultation was obtained.

Keywords: Descending Aortic Aneurysms; Dissection of the Aorta; ACS-Artery Coronary Syndrome; Ischemia



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Citation: Juna Musa.,et al. “Case Report “A Dissecting Aneurism of the Aortic Arch at the Left Subclavian Origin Extending to Descending Thoracic and Abdominal Aorta with False and True Lumens”".Acta Scientific Medical Sciences 4.10 (2020): 54-58.


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