Acute renal failure and hepatocellular damage as presenting symptoms of type II aortic dissection
Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Serbian Medical Society
2016-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2016/0370-81791606320J.pdf |
| Summary: | Introduction. Pericardial effusion can be a consequence of a number of
pathological conditions, and as such it can cause impaired left ventricular
filling followed by decreased cardiac output and blood pressure. This kind of
hemodynamic compromise and its consequences are extremely uncommon unless
pericardial effusion causes tamponade. Case Outline. We describe a very rare
case of a 30-year old male patient, with an acute aortic dissection type II
causing pericardial effusion without clinical nor echocardiographic signs of
tamponade, while presenting with an acute renal and hepatic failure. After
initial diagnostic uncertainties, and following final diagnosis of an acute
aortic dissection, this patient underwent surgical aortic valve replacement
with a satisfactory outcome. Conclusion. It is important to underscore the
significance of clinical situation of simultaneously existing acute renal and
hepatic failures in the setting of a “non-tamponade” pericardial effusion,
following a type II aortic dissection. Although most commonly aortic
dissection presents itself with typical clinical symptoms or patient history
data, it is not that unusual for it to be hidden in an entirely atypical
clinical milieu as the one described in this case. |
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| ISSN: | 0370-8179 2406-0895 |