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Aortic dissection in a non-marfanoid child.

M Panja1, S Kumar, S Panja

  • 1Department of Cardiology, Institute of Post-Graduate Medical Education and Research, Calcutta.

The Journal of the Association of Physicians of India
|May 1, 1990
PubMed
Summary

A nine-year-old girl experienced sudden chest pain and dyspnea. Diagnosis confirmed dissecting aneurysm of the ascending aorta, affecting the aortic valve, coronary artery, and pericardium.

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Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Vascular Surgery

Background:

  • Aortic dissection is a rare but life-threatening condition.
  • Sudden onset chest pain and dyspnea in children warrant thorough investigation.

Observation:

  • A previously healthy nine-year-old girl presented with acute chest pain and dyspnea.
  • Initial examination revealed no Marfanoid features, normal slit lamp examination, and normal aortic valve on echocardiography.

Findings:

  • Diagnosis of dissecting aneurysm of the ascending aorta was established.
  • The dissection involved the aortic valve cusps, right coronary artery, and pericardium.
  • Diagnostic tools included electrocardiogram (ECG), pericardiocentesis, echocardiography, and aortography.

Implications:

  • This case highlights the importance of considering aortic dissection in pediatric patients with acute chest pain, even without typical risk factors.
  • Prompt diagnosis and management are crucial for favorable outcomes in pediatric aortic emergencies.
  • Multimodality imaging plays a vital role in defining the extent of aortic pathology.

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