An extensive DeBakey type IIIb aortic dissection with massive right pleural effusion presenting as abdominal pain and acute anemia: particular case report

被引：0

作者：

Yu, Hui-Chun ^{[1
]}

Wang, Zhen-Qing ^{[1
]}

Hao, Yuan-Yuan ^{[1
]}

An, Feng-Ping ^{[1
]}

Hu, Yu-Chuan ^{[2
]}

Deng, Rui-Bing ^{[3
]}

Yu, Peng ^{[3
]}

Cui, Guang-Bin ^{[2
]}

Li, He ^{[3
]}

机构：

[1] Xiqing Hosp, Dept Gerontol, Tianjin, Peoples R China

[2] Fourth Mil Med Univ, Tangdu Hosp, Dept Radiol, Xian 710032, Shaanxi Provinc, Peoples R China

[3] Logist Univ CAPF, Pingjin Hosp, Cardiovasc Div Gerontol, Tianjin, Peoples R China

来源：

JOURNAL OF GERIATRIC CARDIOLOGY | 2015年 / 12卷 / 03期

关键词：

Acute aortic dissection; Anemia; D-dimer; The elderly; BRAIN NATRIURETIC PEPTIDE; D-DIMER; MANAGEMENT; DISEASE; BIOMARKER;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We describe the case of a 79-year-old male presented with sudden onset of abdominal pain and mild breathlessness, and complicated acute progressive anemia with haemoglobin which declined from 120 g/L to 70 g/L within five days. An urgent computed tomography angiography showed acute thoracic aortic dissection, DeBakey type IIIb, a dissecting aneurysm in the proximal descending thoracic aorta starting immediately after the origin of the left subclavian artery and extending distally below the renal arteries with evidence of rupture into the right pleural cavity for massive pleural effusion. Plasma D-dimer, brain natriuretic peptide and C reactive protein level were elevated. Our case showed that D-dimer can be used as a 'rule-out' test in patients with suspected aortic dissection. A raised BNP may exert a protective role through anti-inflammatory endothelial actions in the systemic circulation.

引用

页码：319 / 322

页数：4