Aortic dissection in a young male with isolated interrupted aortic arch: an unusual association
Interruption of the aortic arch (IAA) is a rare congenital anomaly which has been infrequently documented in the adult population. Aortic dissection (AD) is an emergency often presenting as acute chest pain and warranting urgent intervention. A 32-year-old male presented to Emergency Department wit...
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doaj-e9ca1ca67e9a4d0791397809bb84b8952021-02-16T03:54:09ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642021-02-0191110.4081/monaldi.2021.1404Aortic dissection in a young male with isolated interrupted aortic arch: an unusual associationShekhar Kunal0Pooja Pathak1Shruti Mittal2Vijay Pathak3Prateek Vaswani4Department of Cardiology, Sawai Man Singh Medical College, JaipurLady Health Officer, NIMS Medical College, JaipurDepartment of Radiodiagnosis, Maulana Azad Medical College, New DelhiDepartment of Cardiology, Sawai Man Singh Medical College, JaipurDepartment of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi Interruption of the aortic arch (IAA) is a rare congenital anomaly which has been infrequently documented in the adult population. Aortic dissection (AD) is an emergency often presenting as acute chest pain and warranting urgent intervention. A 32-year-old male presented to Emergency Department with acute chest pain. Clinical examination revealed feeble pulses in bilateral lower limbs with a blood pressure difference between upper and lower limbs. Two-dimensional Echocardiography was suggestive of IAA with AD in the descending thoracic aorta. This was confirmed on computed tomography scan of the aorta which revealed complete interruption of the aortic arch distal to left subclavian artery along with the presence of an intimo-medial flap in descending thoracic aorta. A diagnosis of IAA with AD was made. The patient underwent an urgent aortic repair surgery following which he has been largely asymptomatic. A suspicion of AD should always be made in any patient presenting with acute onset chest pain radiating to the back along with accelerated hypertension/feeble pulses in extremity. Occurrence of AD in an adult with IAA is a distinct rarity and has been documented only thrice. https://www.monaldi-archives.org/index.php/macd/article/view/1404Aortic dissectionD-dimerechocardiographyinterrupted aortic archmulti detector Computed Tomography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shekhar Kunal Pooja Pathak Shruti Mittal Vijay Pathak Prateek Vaswani |
spellingShingle |
Shekhar Kunal Pooja Pathak Shruti Mittal Vijay Pathak Prateek Vaswani Aortic dissection in a young male with isolated interrupted aortic arch: an unusual association Monaldi Archives for Chest Disease Aortic dissection D-dimer echocardiography interrupted aortic arch multi detector Computed Tomography |
author_facet |
Shekhar Kunal Pooja Pathak Shruti Mittal Vijay Pathak Prateek Vaswani |
author_sort |
Shekhar Kunal |
title |
Aortic dissection in a young male with isolated interrupted aortic arch: an unusual association |
title_short |
Aortic dissection in a young male with isolated interrupted aortic arch: an unusual association |
title_full |
Aortic dissection in a young male with isolated interrupted aortic arch: an unusual association |
title_fullStr |
Aortic dissection in a young male with isolated interrupted aortic arch: an unusual association |
title_full_unstemmed |
Aortic dissection in a young male with isolated interrupted aortic arch: an unusual association |
title_sort |
aortic dissection in a young male with isolated interrupted aortic arch: an unusual association |
publisher |
PAGEPress Publications |
series |
Monaldi Archives for Chest Disease |
issn |
1122-0643 2532-5264 |
publishDate |
2021-02-01 |
description |
Interruption of the aortic arch (IAA) is a rare congenital anomaly which has been infrequently documented in the adult population. Aortic dissection (AD) is an emergency often presenting as acute chest pain and warranting urgent intervention. A 32-year-old male presented to Emergency Department with acute chest pain. Clinical examination revealed feeble pulses in bilateral lower limbs with a blood pressure difference between upper and lower limbs. Two-dimensional Echocardiography was suggestive of IAA with AD in the descending thoracic aorta. This was confirmed on computed tomography scan of the aorta which revealed complete interruption of the aortic arch distal to left subclavian artery along with the presence of an intimo-medial flap in descending thoracic aorta. A diagnosis of IAA with AD was made. The patient underwent an urgent aortic repair surgery following which he has been largely asymptomatic. A suspicion of AD should always be made in any patient presenting with acute onset chest pain radiating to the back along with accelerated hypertension/feeble pulses in extremity. Occurrence of AD in an adult with IAA is a distinct rarity and has been documented only thrice.
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topic |
Aortic dissection D-dimer echocardiography interrupted aortic arch multi detector Computed Tomography |
url |
https://www.monaldi-archives.org/index.php/macd/article/view/1404 |
work_keys_str_mv |
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