Double Emergency Pulmonary Embolism and Aortic Dissection: About a Clinical Case

• 作者: Asmaou Keita Boubacar Sonfo Coumba Thiam Hamidou Oumar Bâ Ibrahima Sangaré Mahamadou Cissé Massama Camara Massama Konaté Menta Ichaka Sako Mariam Sidibé Samba Souleymane Sanogo Youssouf Camara
• 来源期刊: 心血管病(英文)
• 学科: 医学
• 关键词: Pulmonary Embolism Aortic Dissection CHU Kati
• 年，卷（期）: 2020,（8）
• 页码范围: 550-557
• 页数: 8页
• 分类号: R54

摘要

<strong>Introduction:</strong> <span style="font-family:;" "=""><span style="font-family:Verdana;">Pulmonary embolism and aortic dissection are two formidable cardiovascular emergencies. Their exceptional association has a poor prognosis with very high mortality. The aim of our study was to report the case of a 31-year-old patient with pulmonary embolism associated with De Bakey’s type I aortic dissection, admitted to the cardiology department of Kati University Hospital. </span><b><span style="font-family:Verdana;">Case Presentation:</span></b><span style="font-family:Verdana;"> We report the case of a young patient of 31 with no known cardiovascular history, on estrogen-progestogen contraception for 10 years, who consults for a left basal thoracic pain of increasing intensity, a whitish productive cough, hemoptysis and dyspnea stage III. She was admitted to the cardiology department, transthoracic cardiac ultrasound objectified aortic insufficiency, dissection of the aorta, the presence of the intimal flap, the false and the true channel, dilation of the right cavities with HTAP. The chest CT scan revealed bilateral lobar and segmental pulmonary embolism, De Bakey’s type I aortic dissection. Medical treatment was instituted for hemodynamic stabilization at the end of sending her to a center specializing in cardiovascular surgery for better management</span></span><span style="font-family:Verdana;">;</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> unfortunately she succumbed before the preparations for her evacuation were finished. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The pulmonary embolism associated with aortic dissection constitutes a medical emergence of rare incidence in a cardiological environment</span></span><span style="font-family:Verdana;">;</span><span style="font-family:Verdana;">if the diagnosis was quickly made in our patient, the lack of technical platform made management difficult.</span>