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Ultima descărcare din IBN: 2024-05-14 22:26 |
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616.132-007.64-07 (6) |
Pathology of the circulatory system, blood vessels. Cardiovascular complaints (1025) |
SM ISO690:2012 GÎRBU, Lucia, GREJDIERU, Alexandra, COJOCARU, Victor, GRIB, Liviu, CAZACU, Gheorghe, GUŢU-BAHOV, Cornelia. Anevrism disecant de aorta. Caz clinic. In: Sănătate Publică, Economie şi Management în Medicină , 2016, nr. 2(66), pp. 167-170. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 2(66) / 2016 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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CZU: 616.132-007.64-07 | ||||||
Pag. 167-170 | ||||||
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Aortic dissection is one of the most serious cardiovascular emergencies that can occur at any age, most commonly to patients with ages between 50 and 80 years old. The intiating event is represented by a fissure in the intima of the aortic wall that allows the blood to penetrate in the aortic cavity and determines the detachment of the aortic tunics, forming a false lumen. Disections ussualy spread anterograde in a spiral manner but there are described casses of retrograde expansion. A case report of a 51 year old man, urgently hospitalized in ITU (Intensive Therapy Unit) with anterior chest pain that was persisting for 3 hours. The ECG (Electrocardiogram) suggested myocardial injury and ischemia, nevertheless the biomarkers of the myocardial injury did not confirm that. The Coronary angiography established severe atherosclerotic coronarian injury, moderately severe stenosis on circumflex artery Cx II and moderate stenosis on LAD II, LAD III, DIA I, OM I, RCA II. On the ultrasound examination an ascendent aortic anevrism was suspected that later was confirmed by the toraco-abdominal tomography and coronarography. After the aortic dissection was confirmed, the patient was consulted by the cardio surgeon and transferred to the Cardiovascular Surgery Clinic in the intensive care unit where he underwent |
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Cuvinte-cheie aortic dissection, myocardial infarction |
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