Naslov
Multidisciplinary approach to Stanford type B aortic dissection

Autori
Marušić, Romana ; Olujić, Marija ; Karl, Dora ; Jurić, Petra ; Čerkez Habek, Jasna.

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Book of abstracts, 3th Osijek Student Congress OSCON. International Translational Medicine Congress of Students and Young Physicians / - , 2021, 66-66

Skup
International Translational Medicine Congress of Students and Young Physicians

Mjesto i datum
Osijek, Hrvatska, 19.03.2021. - 20.03.2021

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
aortic dissection, multidisciplinary approach, Stanford type B

Sažetak
Introduction: Aortic dissection is defined as disruption of the medial layer provoked by intramural bleeding, resulting in separation of the aortic wall layers and subsequent formation of a true lumen and a false lumen with or without communication. Stanford type B aortic dissections (AD) involve descending aorta and are further classified by time of onset and presence of complications. Case report: 72-year-old patient was hospitalized for sudden and intense lumbar pain that spread to the abdomen. Patient also reported sweating. Since values of D-dimers were elevated, aortography was performed, and aortic dissection was located at 55 mm below the renal arteries extending along the left iliac artery. A penetrating ulcer in the initial part of the descending aorta is also a possibility. Patient was presented to the Cardiology and Radiology Council and continued treatment with medications was indicated. Afterwards, patient has had well- regulated pressure along with complete regression of abdominal and back pain in good general condition. Conclusion: This case study aims to highlight the importance of a multidisciplinary approach to Stanford type B aortic dissection. Patients with uncomplicated Type B AD receive medical therapy to control pain, heart rate, and blood pressure, with close surveillance to identify signs of disease progression or lack of perfusion. Additional factors, such as the false lumen diameter, the location of the primary entry site, and a retrograde component of the dissection into the aortic arch, are considered to significantly influence the patient’s prognosis.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA