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

×

Abstract

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

×

References

  1. Joon Bum Kim., et al. “Risk of Rupture or Dissection in Descending Thoracic Aortic Aneurysm”. Circulation17 (2015): 1620-1629.
  2. Daniel B Alfson and Sung W Ham. “Type B Aortic Dissections”. Cardiology Clinics3 (2017): 387-410.
  3. Azeem S Sheikh., et al. “Acute Aortic Syndrome”. Circulation10 (2013): 1122-1127.
  4. Kazumasa Orihashi. “Mesenteric ischemia in acute aortic dissection”. Surgery Today5 (2016): 509-516.
  5. Arnoud V Kamman., et al. “Visceral Malperfusion in Aortic Dissection: The Michigan Experience”. Seminars in Thoracic and Cardiovascular Surgery2 (2017): 173-178.
  6. Christoph A Nienaber., et al. “Gender-Related Differences in Acute Aortic Dissection”. Circulation 24 (2004): 3014-3021.
  7. G Torsello., et al. “S2k guidelines for the diagnosis and treatment of type B aortic dissection”. Gefässchirurgie S1 (2019): 19-24.
  8. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases”. European Heart Journal41 (2014): 2873-2926.
  9. Ijaz A Khan and Chandra K Nair. “Clinical, Diagnostic, and Management Perspectives of Aortic Dissection”. Chest1 (2002): 311-328.
  10. , et al. “Acute aortic dissection: pathogenesis, risk factors and diagnosis”. Swiss Medical Weekly 147 (2007): 4748.
  11. Alice Le Huu., et al. “Acute Type A Aortic Dissection”. Cardiac Surgery (2020): 475-486.
  12. R Scott Mitchell. “Acute aortic dissections with entry tear in the aortic arch: International Registry of Acute Aortic Dissection to the rescue”. The Journal of Thoracic and Cardiovascular Surgery5 (2018): 1794.
  13. Dolly Thakkar Michael D Dake. “Management of Type B Aortic Dissections: Treatment of Acute Dissections and Acute Complications from Chronic Dissections”. Techniques in Vascular and Interventional Radiology3 (2018): 124-130.
×

Citation

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.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor0.851

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 20, 2021.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US