An interesting case for medical students which I experienced today. I was running the medical clinic when one of the HOs informed me that there is a case needed to be seen in the Echo room.
It was a 64 year old Malay lady who is a known case of hypertension for about 30 years, presented with shortness of breath for 2 days. Clinically she had raised JVP, bibasal crepitations in the lungs and was tachypnoeic. BP 138/80(on antihypertensives) - almost the same the other side. no radio radial or radio femoral pulse.
Basically she had symptoms of congestive cardiac failure.
ECG - sinus tachycardia
CXR - upper lobe divergence, cardiomegaly and widening of the mediastinum
Echo revealed a flap from the ascending aorta to the arch and descending aorta suggestive of Type A aortic dissection EF 40%
She was immediately sent for CT angiogram of thorax and referred to the cardiothoracic.
4 comments:
how should patients in whom acute aortic dissection is suspected to be managed and what are the options for the theraphy?
In Type A Aortic disscetion the answer is surgery.
May i know for that degree of aortic dissection to occur, how long does it take? And is it possible for Type B transforms into Type A in long run?Thx :-)
The disease discussed in this post is diagnozed with the help of cardiac MRI technique. This MRI shows the still and moving images of the patient's heart and blood vessels.The structure and function of the heart is analyzed through the pictures scanned.
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