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Acute aortic dissection--De Bakey Type I and Stanford A
A R Vijayakumar1, Sujaya Menon, S Kumar
1PSG Institute of Medical Sciences and Research Peelamedu, Coimbatore 641 004.
The Journal of the Association of Physicians of India
|January 20, 2005
Summary
This rare aortic dissection case (De Bakey Type I, Stanford A) presented with severe symptoms including chest pain and paraplegia. Despite conservative management, the patient unfortunately passed away within 12 hours.
Area of Science:
- Cardiology
- Vascular Surgery
- Radiology
Background:
- Aortic dissection is a life-threatening condition involving a tear in the aorta's inner layer.
- De Bakey Type I and Stanford A classifications indicate extensive aortic involvement, including the ascending aorta.
Observation:
- The patient presented with severe tearing chest pain, paraplegia, stupor, hypotension, and syncope.
- Echocardiography revealed dissection involving the aortic root.
- Magnetic Resonance Imaging (MRI) confirmed extensive aortic dissection spanning the ascending aorta, aortic arch, and descending aorta.
Findings:
- The case exemplifies a rare presentation of extensive aortic dissection (De Bakey Type I, Stanford A).
- The patient exhibited a constellation of critical neurological and hemodynamic symptoms secondary to the dissection.
Implications:
- This case highlights the rapid and fatal progression possible with extensive aortic dissections, even with conservative management.
- Accurate and timely diagnosis using echocardiography and MRI is crucial for understanding the extent of aortic involvement.