A Case of Complicated Acute Type B Aortic Dissection

Authors

  • Mashhud Zia Chowdhury Associate Professor & Consultant, Department of Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka
  • Nusrat Ghafoor Assistant Professor & Associate Consultant, Department of Radiology & Imaging, Ibrahim Cardiac Hospital & Research Institute, Dhaka
  • Mohammed Salauddin Specialist & Registrar, Department of Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka
  • Md Jabed Iqbal Specialist & Registrar, Department of Cardio Ibrahim Cardiac Hospital & Research Institute, Dhaka
  • Md Mahmudur Rahman Siddiqui Assistant Professor, Department of Medicine, AKMMC, Dhaka

DOI:

https://doi.org/10.3329/akmmcj.v6i1.24986

Keywords:

acute type B aortic dissection, medical management

Abstract

A 65 year lady with chest and back pain was referred to our hospital with suspected case of acute coronary syndrome. A computed tomography (CT) aortic angiogram showed dissection of abdominal and thoracic aorta. Patient was initially treated by drugs for controlling heart rate and blood pressure with analgesics but due to progression of disease and involvement of left subclavian artery ostium referred for surgical intervention. She underwent left carotid-subclavian bypass and TEVAR (Thoracic endovascular aortic repair) with good outcome. The present case is a good demonstration revealing that in absence of clinical suspicion and diagnostic imaging, acute aortic dissection represents a diagnostic dilemma which requires immediate action.

Anwer Khan Modern Medical College Journal Vol. 6, No. 1: January 2015, Pages 46-49

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Author Biography

Mashhud Zia Chowdhury, Associate Professor & Consultant, Department of Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka



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Published

2015-09-14

How to Cite

Chowdhury, M. Z., Ghafoor, N., Salauddin, M., Iqbal, M. J., & Siddiqui, M. M. R. (2015). A Case of Complicated Acute Type B Aortic Dissection. Anwer Khan Modern Medical College Journal, 6(1), 46–49. https://doi.org/10.3329/akmmcj.v6i1.24986

Issue

Vol. 6 No. 1 (2015)

Section

Case Reports