Martínez GG, Ravelo DR, Valdés CE, Cruz RLO, Cárdenas FY

Language: Spanish
References: 0
Page: 123-127
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ABSTRACT

The acute aortic dissection is the most common fatal event affecting the aorta and its early mortality is very high. The most common risk factor is high blood pressure, while others are described, like the aortic diseases, traumatisms, and smoking. The case of a 63-year-old patient is described, which had a history of hypertension and who reaches the Emergency Room with severe chest pain spreading to the abdomen and back. A computed tomography angiography was carried out and a DeBakey type IIIb aortic dissection was diagnosed, with extension to the right common femoral artery. There were also diagnosed two congenital malformations: emergency of the left common carotid artery and arterial brachiocephalic trunk from a single common trunk (bovine aortic arch), and a remnant of the ductus arteriosus. After a month of hospitalization, the patient was discharged from the service with clinical stability, awaiting elective surgery.