A Diagnostic Conundrum in a Localized Ascending Aortic Aneurysm

Affirul Chairil Ariffin, and Hanizah Ngadiron, and Firdaus Hayati, and Nornazirah Azizan, and Fairrul Kadir, and Andee Dzulkarnaen Zakaria, (2018) A Diagnostic Conundrum in a Localized Ascending Aortic Aneurysm. Gazi Medical JOurnal, 29 (4). pp. 362-364. ISSN 2147-2092

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Aortic dissection (AD) is an uncommon life-threatening emergency. Its development is usually subtle and easily missed. On the other hand, an aneurysm nearly always requires immediate surgical intervention. Both interventions are technically different and pose their own challenges. We experienced a distinct case of AD of the ascending aorta in a 65-year-old lady, who presented with a sudden onset of severe chest pain and shortness of breath. Thoracic aortic aneurysm was suspected as computed tomography revealed a saccular aneurysm of the proximal ascending aorta with no involvement of the valve and aortic branches. Surgery was decided after considering the risk of rupture and mortality. However, a diagnosis of localized aortic dissection was discovered and repaired accordingly. We discuss the pitfalls of diagnostic modalities and the techniques of surgical repair.

Item Type: Article
Uncontrolled Keywords: Saccular,aneurysm, aortic dissection, goretex, graft
Subjects: R Medicine > RC Internal medicine
Divisions: FACULTY > Faculty of Medicine and Health Sciences
Date Deposited: 19 Sep 2019 00:55
Last Modified: 19 Sep 2019 00:55
URI: http://eprints.ums.edu.my/id/eprint/23591

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