Aortic Dissection in an 11-Year-Old Boy: Case Report

Document Type : Case Report

Authors

Department of Cardiology, Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, IR Iran.

Abstract

We describe a young boy with epigastric pains and transiently altered consciousness, admitted for surgery. After cardiology consultation and transthoracic echocardiography, a distal type aortic dissection was diagnosed. Computed tomography angiography for the evaluation of the aortic dissection was performed. Given the patient’s hemodynamically stable state and the distal type of the aortic dissection, he was discharged with medical follow-up.

Keywords


1. Ngan, K.-W., et al., Aortic dissection in a young
patient without any predisposing factors. Chang
Gung medical journal, 2006. 29(4): p. 419.
2. Fikar, C.R. and R. Fikar, Aortic dissection in
childhood and adolescence: an analysis of
occurrences over a 10year interval in New
York State. Clinical cardiology, 2009. 32(6).
3. Deshmukh, A. and G. Deshmukh, Aortic
Dissection-A Case Report. Indian Journal of
Public Health Research & Development, 2013.
4(1): p. 66.
4. Aziz, F., et al., Peripartum acute aortic
dissection: a case report & review of literature.
Journal of thoracic disease, 2011. 3(1): p. 65.
5. Inamasu, J., et al., Paraplegia caused by painless
acute aortic dissection. Spinal cord, 2000.
38(11): p. 702.
6. Schor, J.S., M.D. Horowitz, and A.S.
Livingstone, Recreational weight lifting and
aortic dissection: case report. Journal of vascular
surgery, 1993. 17(4): p. 774-776.
7. Donovan, E.M., G.K. Seidel, and A. Cohen,
Painless aortic dissection presenting as high
paraplegia: a case report. Archives of physical
medicine and rehabilitation, 2000. 81(10): p.
1436-1438.
8. Rosen, S.A., Painless aortic dissection
presenting as spinal cord ischemia. Annals of
emergency medicine, 1988. 17(8): p. 840-842.
9. Morita, S., et al., Painless acute aortic dissection
with a left hemiparesis: a case report. Journal of
Stroke and Cerebrovascular Diseases, 2005.
14(1): p. 36-38.


10. HIRST JR, A.E., J. VARNER J JOHNS, and
S.W. KIME JR, Dissecting aneurysm of the
aorta: a review of 505 cases. Medicine, 1958.
37(3): p. 217.
11. Lijoi, A., et al., Circumferential dissection of the
ascending aorta with intimal intussusception.
Case report and review of the literature. Texas
Heart Institute Journal, 1994. 21(2): p. 166.
12. Morris-Stiff, G., et al., Post coital aortic
dissection: a case report. Journal of medical case
reports, 2008. 2(1): p. 6.
13. Nusair, M., et al., A case of aortic dissection in a
cocaine abuser: a case report and review of
literature. Cases journal, 2008. 1(1): p. 369.
14. Zalzstein, E., et al., Aortic dissection in children
and young adults: diagnosis, patients at risk, and
outcomes. Cardiology in the young, 2003. 13(4):
p. 341-344.
15. Beitzke, A., et al., Dissection of the descending
aorta after balloon angioplasty of native
coarctation. Pediatric cardiology, 1997. 18(3): p.
222-225.
16. Syed, M. and T. Fiad, Transient paraplegia as a
presenting feature of aortic dissection in a young
man. Emergency medicine journal, 2002. 19(2):
p. 174-175.
17. Klompas, M., Does this patient have an acute
thoracic aortic dissection? Jama, 2002. 287(17):
p. 2262-2272.
18. Lee, S.-I., S.-B. Pyun, and D.-H. Jang,
Dysphagia and hoarseness associated with
painless aortic dissection: a rare case of
cardiovocal syndrome. Dysphagia, 2006. 21(2):
p. 129-132.