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Srpski arhiv za celokupno lekarstvo
2016, vol. 144, br. 5-6, str. 320-324
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.2298/SARH1606320J


Akutna bubrežna i hepatična insuficijencija kao prezentujući simptomi aortne disekcije tipa II
aClinical Center of Serbia, Clinic for Cardiology, Belgrade
bClinical Center of Serbia, Clinic for Cardiology, Belgrade + University of Belgrade, School of Medicine, Belgrade
cClinical Center of Serbia, Centre for Radiology and Magnetic Resonance, Belgrade
dClinical Center of Serbia, Center for Anesthesiology and Reanimatology, Belgrade

e-adresa: ivana170679@gmail.com

Sažetak

Uvod: Perikardni izliv može nastati kao posledica niza patoloških stanja i dovesti do smanjenog dijastolnog punjenja leve komore, što dalje vodi smanjenju minutnog volumena i arterijske tenzije. Ovakav hemodinamski kompromis cirkulacije i njegove posledice su uzuzetno retki ukoliko perikardni izliv ne izazove tamponadu srca. Prikaz bolesnika Akutno nastala aortna disekcija tipa II kod bolesnika starog 30 godina dovela je do pojave perikardnog izliva koji nije bio komplikovan kliničkim ni ehokardiografskim znacima tamponade srca, ali se prezentovala znacima akutne renalne i hepatične insuficijencije. Nakon sprovedene diagnostike, bolesnik je podvrgnut hitnoj hirurškoj intervenciji zamene aortne valvule sa zadovoljavajućim ishodom. Zaključak Važno je istaći značaj kliničke slike u kojoj istovremeno postoji akutna bubrežna i hepatična insuficijencija na terenu aortne diskecije tipa II komplikovane perikardnim izlivom bez znakova tamponade srca. Aortna disekcija se često prezentuje tipičnim kliničkim simptomima i uobičajenim anamnestičkim podacima. Klinički kuriozitet predstavlja njena pojava i posledice nastale u okolnostima prikazanim u ovom slučaju.

Ključne reči

aortna disekcija; intimalni flap; renalna insuficijencija; hepatična insuficijencija; perikardni izliv

Reference

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