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Acute Aortic Dissection Occurring "Behind The Wheel", Report of 11 Cases

Takamichi Yoshizaki1, Naoyuki Kimura1, Tomoyasu Hirano2

  • 1Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

Annals of Vascular Diseases
|October 15, 2016
PubMed

Insights

Acute aortic dissection (AAD) in drivers is rare but serious. Prompt hospital transport for affected drivers can lead to good surgical outcomes, despite the risks associated with driving.

Area of Science:

  • Cardiology
  • Emergency Medicine
  • Transportation Safety

Background:

  • Non-traumatic acute aortic dissection (AAD) is a life-threatening condition.
  • Investigating AAD occurrences in drivers is crucial due to potential public safety risks.
  • Understanding the clinical presentation of AAD in drivers can inform emergency response.

Observation:

  • Eleven cases of non-traumatic AAD occurred in drivers between 1990 and 2014.
  • The affected drivers were predominantly male (9/11) with a mean age of 58.3 years, including seven commercial drivers.
  • Common symptoms included chest/back pain (9/11) and syncope (2/11), with one syncope case resulting in a traffic accident.

Findings:

  • Ten patients experienced Type A dissection (DeBakey type I), and one had Type B dissection.
  • The in-hospital mortality rate was 9.9% (1/11).
  • Timely hospital transport was associated with favorable surgical outcomes.

Implications:

  • Early recognition and rapid transport of drivers with suspected AAD are critical for improving patient survival.
  • This study highlights the importance of considering AAD in drivers presenting with acute chest or back pain or syncope.
  • Further research into preventative measures and driver screening for cardiovascular conditions may be warranted.

Keywords:
aortic dissectionmotor vehicle drivingtraffic accident

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