• citations in SCIndeks: 0
  • citations in CrossRef:0
  • citations in Google Scholar:[]
  • visits in previous 30 days:7
  • full-text downloads in 30 days:2


article: 4 from 10  
Back back to result list
2017, vol. 36, iss. 4, pp. 250-253
Acute aortic dissection overlapping with herniated discs in thoracic and lumbosacral spine
aUniversity of Kragujevac, Faculty of Medical Sciences, Department of Internal Medicine + Clinical Center Kragujevac, Clinic for Cardiology
bClinical Center Kragujevac, Clinic for Cardiology
cClinical Center of Serbia, Clinic for Cardiac Surgery, Belgrade
dClinical Center Kragujevac, Clinic of Pulmonology
Keywords: chest pain; herniated disc; aortic dissection
In this study we presented a patient with a chest pain, pain in thoracic and lumbosacral spine, which we supposed that they are consequence of earlier diagnosed herniated disc in thoracic and lumbosacral spine, but they masked clinical picture of aortic dissection. Pain lasted a few days, but patient had dizziness too. At admission day, patient had unconsciousness 1 minute. At first, we suspected on exacerbation of arthritis in thoracic and lumbosacral spine and possible acute coronary syndrome. Exacerbation of herniated discs in lumbosacral spine was confirmed, acute coronary syndrome was excluded, and further evaluation confirmed diagnosis of aortic dissection De Backey type 1 with pericardial hematoma which was treated by surgery.
Abbas, A., Brown, I.W., Peebles, C.R., Harden, S.P., Shambrook, J.S. (2014) The role of multidetector-row CT in the diagnosis, classification and management of acute aortic syndrome. British Journal of Radiology, 87(1042): 20140354
Evangelista, A., Flachskampf, F.A., Erbel, R., Antonini-Canterin, F., Vlachopoulos, C., Rocchi, G., Sicari, R., Nihoyannopoulos, P., Zamorano, J., Pepi, M., Breithardt, O.-A., Plonska-Gosciniak, E. (2010) Echocardiography in aortic diseases: EAE recommendations for clinical practice. European Journal of Echocardiography, 11(8): 645-658
Hallinan, J.T.P.D. (2014) Multi-detector computed tomography in the diagnosis and management of acute aortic syndromes. World Journal of Radiology, 6(6): 355
Harris, K.M., Strauss, C.E., Eagle, K.A., Hirsch, A.T., Isselbacher, E.M., Tsai, T.T., Shiran, H., Fattori, R., Evangelista, A., Cooper, J.V., Montgomery, D.G., Froehlich, J.B., Nienaber, C.A. (2011) Correlates of Delayed Recognition and Treatment of Acute Type A Aortic Dissection. Circulation, 124(18): 1911-1918
Hugli, O.W. (2010) Letter by Hugli Regarding Article, 'Diagnosis of Acute Aortic Dissection by D-Dimer: The International Registry of Acute Aortic Dissection Substudy on Biomarkers (IRAD-Bio) Experience”. Circulation, 121(4):
Kim, H.J., Lee, H., Cho, B. (2013) A Case of Acute Aortic Dissection Presenting with Chest Pain Relieved by Sublingual Nitroglycerin. Korean Journal of Family Medicine, 34(6): 429
Leite, L., Baptista, R., Leitão, J., Cochicho, J., Breda, F., Elvas, L., Fonseca, I., Carvalho, A., Nascimento, C.J. (2015) Chest pain in the emergency department: risk stratification with Manchester triage system and HEART score. BMC Cardiovascular Disorders, 15(1):
Leitman, M., Suzuki, K., Patton, B., i dr. (2013) Early recognition of acute thoracic dissection and aneurysm. World J Emerg Surg., 8: 47
Lentini, S., Perrotta, S. (2011) Aortic dissection with concomitant acute myocardial infarction: From diagnosis to management. Journal of Emergencies, Trauma, and Shock, 4(2): 273
Mcconaghy, J. (2013) Outpatient diagnosis of acute chest pain in adult. Am Fam Physicians, Feb: 87(3): 1: 177-182
Nieman, K., Hoffmann, U. (2015) Cardiac computed tomography in patients with acute chest pain. European Heart Journal, 36(15): 906-914
Olsson, C., Thelin, S., Ståhle, E., Ekbom, A., Granath, F. (2006) Thoracic Aortic Aneurysm and Dissection. Circulation, 114(24): 2611-2618
Pitts, S.R., Niska, R.W., Xu, J., Burt, C.W. (2008) National hospital ambulatory medical care survey: 2006 Emergency Department summary. Natl Heart Stat Report, 7: 1-3
Trimarchi, S., Nienaber, C.A., Rampoldi, V. (2005) Contemporary Results of Surgery in Acute Type A Aortic Dissection: The International Registry of Acute Aortic Dissection Experience. ACC Current Journal Review, 14(5): 45-46


article language: English
document type: Case Report
DOI: 10.5937/siks1704250V
published in SCIndeks: 06/07/2018

Related records

Vojnosanitetski pregled (2016)
Biomarkers in aortic dissection, including specific causes of troponin elevation
Koraćević Goran, et al.