Acute Thoracic Aortic Dissection (Stanford B): Challenges in Early Detection and Management
|Noraini Sarina Abdullah1* and Fathinul Fikri Ahmad Saad2|
|1Medical Unit, Pusat Perubatan Universiti Kebangsaan Malaysia, Jln Yaakob Latif 56100 Kuala Lumpur, Malaysia|
|2Pusat Pengimejan Diagnostik Nuklear, Fakulti Perubatan Sains Kesihatan, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia|
|Corresponding Author :||Noraini Sarina Abdullah
Medical Unit, Pusat Perubatan Universiti Kebangsaan Malaysia
Jln Yaakob Latif 56100 Kuala Lumpur, Malaysia
E-mail: [email protected]
|Received: June 29, 2015 Accepted: August 03, 2015 Published: August 07, 2015|
|Citation: Abdullah NS, Saad FFA (2015) Acute Thoracic Aortic Dissection (Stanford B): Challenges in Early Detection and Management. OMICS J Radiol 4:200. doi:10.4172/2167-7964.1000200|
|Copyright: © 2015 Abdullah NS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background: Diagnosis of acute thoracic dissection is crucial given its potential fatal complications in delayed treatment response. Early and appropriate intervention renders obviation of futile surgery.
Case report: A 63 years old man with uncontrolled hypertension who presented to emergency department with sharp excruciating chest pain which radiated to the back. A Computed Tomography Angiography (CTA) was done which confirmed thoracic aortic dissection (Stanford type B) (Figures 1 and 2). An uneventful endovascular stent graft with Captivia system was done to contain the entry tear. The patient was doing well post procedure with wellcontrolled blood pressure.
Conclusion: This case reports documents challenges in making immediate diagnosis of acute aortic dissection and in providing appropriate intervention to avert fatal outcomes.