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Silent Aortic Dissection after the Heimlich Maneuver: A Case Report.
Kun-Yu Lee1, Yi-Liang Wu2, Sai-Wai Ho3
1Department of Emergency Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan; Department of Emergency Medicine, Chung Shan Medical University, Taichung, Taiwan.
The Journal of Emergency Medicine
|November 14, 2018
Summary
The Heimlich maneuver can rarely cause Stanford type A aortic dissection. Emergency physicians should consider aortic dissection in patients with neurological deficits after this procedure.
Area of Science:
- Cardiology
- Emergency Medicine
- Neurology
Background:
- The Heimlich maneuver is a standard procedure for foreign-body airway obstruction.
- Stanford type A aortic dissection is a life-threatening condition involving the aorta.
- Complications of the Heimlich maneuver are rarely reported.
Observation:
- A 67-year-old male presented with left-sided hemiplegia after a Heimlich maneuver.
- Initial suspicion was acute ischemic stroke, prompting thrombolytic protocol initiation.
- Stanford type A aortic dissection was diagnosed before thrombolytic therapy.
Findings:
- The Heimlich maneuver can precipitate Stanford type A aortic dissection.
- Neurological deficits can be a presenting symptom of aortic dissection post-Heimlich maneuver.
Implications:
- Emergency physicians must consider aortic dissection in patients with new neurological deficits after the Heimlich maneuver.
- Prompt diagnosis of aortic dissection is crucial to avoid inappropriate thrombolytic therapy.
- This case highlights a rare but serious complication of a common emergency procedure.
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