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Acute aortic dissection in a young man with bilateral Covid-19 pneumonia: A suggestive case report at Computed
Francesco Messina1, Lorena Turano1, Grazia Calabrese1
1Radiology Unit of Riuniti Hospital, Azienda Ospedaliera Grande Ospedale Metropolitano (G.O.M.) "Bianchi-Melacrino-Morelli", Via Giuseppe Melacrino n.21, Reggio Calabria 89124, Italy.
Insights
This case report highlights a young patient diagnosed with Coronavirus disease 2019 (Covid-19) who also presented with acute aortic dissection (AAD). Early diagnosis of both conditions is critical for timely intervention and improved patient outcomes.
Area of Science:
- Cardiology
- Infectious Diseases
- Radiology
Background:
- Acute Aortic Dissection (AAD) is a critical vascular emergency requiring prompt diagnosis and treatment.
- The Coronavirus disease 2019 (Covid-19) pandemic has presented numerous clinical challenges, including atypical presentations and complications.
Observation:
- A young male patient tested positive for Covid-19.
- During a chest Computed Tomography (CT) scan for Covid-19, a suspected aortic dissection was incidentally found.
Findings:
- The suspected aortic dissection was confirmed via Computed Tomography Angiography (CTA).
- This case illustrates the potential for concomitant diagnosis of AAD in Covid-19 patients.
Implications:
- Highlights the importance of comprehensive imaging in Covid-19 patients, as life-threatening conditions like AAD may coexist.
- Suggests radiologists should maintain a high index of suspicion for AAD in Covid-19 patients undergoing CT scans.
- Emphasizes the need for prompt diagnosis and management of both Covid-19 and AAD for better patient prognosis.
Abstract:
Acute Aortic Dissection (AAD) is one of the most common lifethreatening diseases that affects the aortic vessel. An its immediate and accurate diagnosis is crucial to initiate the appropriate treatment. The Covid-19 Coronavirus infectious pandemic started since December 2019 and was declared a pandemic by the World Health Organization in March 2020. It caused mainly bilateral interstitial pneumonia, up to causing a severe respiratory failure for the patients, and other complications. Now, we describe the case of a young man that was admitted to our hospital and was found positive for the Coronavirus disease 2019 (Covid-19). While we were performing Computed Tomography (CT) scan of the chest, we had suspected the concomitant presence of an aortic dissection, which was then immediately confirmed by Computed Tomography Angiography (CTA) study, that we had performed to complete the baseline CT scan.
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