Stanford's Acute Aortic Dissection Type A - Pitfalls and Implications for Emergency Medical Practice

被引：7

作者：

Kurz, S. ^{[1
]}

Gieb, M. ^{[1
]}

Kuppe, H. ^{[1
]}

Tsokos, M. ^{[2
]}

Buschmann, C. ^{[2
]}

机构：

[1] Deutsch Herzzentrum Berlin, Inst Anasthesiol, Berlin, Germany

[2] Charite, Inst Rechtsmed, Berlin, Germany

来源：

NOTARZT | 2017年 / 33卷 / 01期

关键词：

aortic dissection type A; differential diagnosis; emergency medicine; autopsy; GUIDELINES; MANAGEMENT; RUPTURE; SOCIETY; DEATH;

D O I：

10.1055/s-0041-108258

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We report three cases of fatal Stanford's acute aortic dissections type A that were not or too late diagnosed during pre- or in-hospital emergency treatment. The acute aortic dissection in acute chest pain should be pre-hospitally included in differential diagnostic considerations. Above all, there should be the attempt of differentiation between acute coronary syndrome and acute aortic dissection to keep away from alteration of hemostasis in the pre-hospital situation resulting in poor prognosis in acute aortic dissection.

引用

页码：20 / 24

页数：5

共 20 条

[1] A survey of autopsy rates in Germany [J].

Brinkmann, B ;

Du Chesne, A ;

Vennemann, B .

DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2002, 127 (15) :791-795

[2] Delayed myocardial perforation caused by mitral valve ring fracture following primarily successful resuscitation [J].

Buschmann, C. T. ;

Zechmeister, E. ;

Schulz, F. .

NOTFALL & RETTUNGSMEDIZIN, 2010, 13 (01) :52-57

[3] Exsanguination in the gastrointestinal tract from an aorta prosthesis [J].

Guddat, S. S. ;

Semm, K. ;

Tsokos, M. .

RECHTSMEDIZIN, 2008, 18 (06) :441-444

[4] Thoracic aortic aneurysm rupture into the esophagus [J].

Hadzisejdic, Ita ;

Mustac, Elvira ;

Krstulja, Mira ;

Franjic, Neven ;

Stimac, Davor .

FORENSIC SCIENCE MEDICINE AND PATHOLOGY, 2012, 8 (03) :327-329

[5]

Hiratzka LF, 2010, CIRCULATION, V121, pE266, DOI 10.1161/CIR.0b013e3181d4739e

[6] Population-Based Study of Incidence and Outcome of Acute Aortic Dissection and Premorbid Risk Factor Control 10-Year Results From the Oxford Vascular Study [J].

Howard, Dominic P. J. ;

Banerjee, Amitava ;

Fairhead, Jack F. ;

Perkins, Jeremy ;

Silver, Louise E. ;

Rothwell, Peter M. .

CIRCULATION, 2013, 127 (20) :2031-+

[7] Meta-analysis of open versus endovascular repair for ruptured descending thoracic aortic aneurysm [J].

Jonker, Frederik H. W. ;

Trimarchi, Santi ;

Verhagen, Hence J. M. ;

Moll, Frans L. ;

Sumpio, Bauer E. ;

Muhs, Bart E. .

JOURNAL OF VASCULAR SURGERY, 2010, 51 (04) :1026-1032

[8]

Jungmann Lara, 2010, Archiv fuer Kriminologie, V226, P55

[9] Risk Profiles for Aortic Dissection and Ruptured or Surgically Treated Aneurysms: A Prospective Cohort Study [J].

Landenhed, Maya ;

Engstrom, Gunnar ;

Gottsater, Anders ;

Caulfield, Michael P. ;

Hedblad, Bo ;

Newton-Cheh, Christopher ;

Melander, Olle ;

Smith, J. Gustav .

JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2015, 4 (01) :e001513

[10] RISK-FACTORS FOR AORTIC DISSECTION - A NECROPSY STUDY OF 161 CASES [J].

LARSON, EW ;

EDWARDS, WD .

AMERICAN JOURNAL OF CARDIOLOGY, 1984, 53 (06) :849-855

← 1 2 →