Fatal Case of Type A Aortic Dissection Presenting As Acute Renal Failure
Aortic dissection is a life-threatening illness requiring early diagnosis and treatment. Uncommon early presentations mimicking various illnesses can delay diagnosis. Acute renal failure (ARF) is an uncommon complication of type A aortic dissection (AAD). Presentation with ARF is associated with an...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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GESDAV
2014-08-01
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| Series: | Archives of Clinical and Experimental Surgery |
| Subjects: | |
| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=23194 |
| _version_ | 1797915121439211520 |
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| author | Fuat Ozkan Mehmet Fatih Inci Selim Bozkurt Bulent Altunoluk Hasan Kahraman Murvet Yuksel |
| author_facet | Fuat Ozkan Mehmet Fatih Inci Selim Bozkurt Bulent Altunoluk Hasan Kahraman Murvet Yuksel |
| author_sort | Fuat Ozkan |
| collection | DOAJ |
| description | Aortic dissection is a life-threatening illness requiring early diagnosis and treatment. Uncommon early presentations mimicking various illnesses can delay diagnosis. Acute renal failure (ARF) is an uncommon complication of type A aortic dissection (AAD). Presentation with ARF is associated with an increased risk of in-hospital death and persistence of renal dysfunction at midterm follow-up in type B aortic dissection, but not AAD. We report a case of a type A aortic dissection complicated by ARF, with a fatal outcome. A 56-year-old male was transferred to the emergency service with anuria and rapid deterioration of renal function. Computed tomography showed type A aortic dissection with near-complete collapse of the true lumen at the level of the renal arteries and complicated with left renal infarct. Because of deterioration of his general condition during hemodialysis, he was treated with supportive measures including ventilatory support. He died two days after admission. Aortic dissection initially mimicking ARF is rare. Accurate early diagnosis of aortic dissection with indeterminate presentation is crucial. [Arch Clin Exp Surg 2014; 3(4.000): 254-256] |
| first_indexed | 2024-04-10T12:36:45Z |
| format | Article |
| id | doaj.art-d165fa2c002d49ff82d479b05de3e771 |
| institution | Directory Open Access Journal |
| issn | 2146-8133 |
| language | English |
| last_indexed | 2024-04-10T12:36:45Z |
| publishDate | 2014-08-01 |
| publisher | GESDAV |
| record_format | Article |
| series | Archives of Clinical and Experimental Surgery |
| spelling | doaj.art-d165fa2c002d49ff82d479b05de3e7712023-02-15T16:14:35ZengGESDAVArchives of Clinical and Experimental Surgery2146-81332014-08-013425425610.5455/aces.2012072502573523194Fatal Case of Type A Aortic Dissection Presenting As Acute Renal FailureFuat Ozkan0Mehmet Fatih Inci1Selim Bozkurt2Bulent Altunoluk3Hasan Kahraman4Murvet Yuksel5Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Radiology Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Radiology Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Emergency Medicine Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Urology Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Chest Disease Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of RadiologyAortic dissection is a life-threatening illness requiring early diagnosis and treatment. Uncommon early presentations mimicking various illnesses can delay diagnosis. Acute renal failure (ARF) is an uncommon complication of type A aortic dissection (AAD). Presentation with ARF is associated with an increased risk of in-hospital death and persistence of renal dysfunction at midterm follow-up in type B aortic dissection, but not AAD. We report a case of a type A aortic dissection complicated by ARF, with a fatal outcome. A 56-year-old male was transferred to the emergency service with anuria and rapid deterioration of renal function. Computed tomography showed type A aortic dissection with near-complete collapse of the true lumen at the level of the renal arteries and complicated with left renal infarct. Because of deterioration of his general condition during hemodialysis, he was treated with supportive measures including ventilatory support. He died two days after admission. Aortic dissection initially mimicking ARF is rare. Accurate early diagnosis of aortic dissection with indeterminate presentation is crucial. [Arch Clin Exp Surg 2014; 3(4.000): 254-256]http://www.scopemed.org/fulltextpdf.php?mno=23194Aortic dissectioncomputed tomographyrenal failure |
| spellingShingle | Fuat Ozkan Mehmet Fatih Inci Selim Bozkurt Bulent Altunoluk Hasan Kahraman Murvet Yuksel Fatal Case of Type A Aortic Dissection Presenting As Acute Renal Failure Archives of Clinical and Experimental Surgery Aortic dissection computed tomography renal failure |
| title | Fatal Case of Type A Aortic Dissection Presenting As Acute Renal Failure |
| title_full | Fatal Case of Type A Aortic Dissection Presenting As Acute Renal Failure |
| title_fullStr | Fatal Case of Type A Aortic Dissection Presenting As Acute Renal Failure |
| title_full_unstemmed | Fatal Case of Type A Aortic Dissection Presenting As Acute Renal Failure |
| title_short | Fatal Case of Type A Aortic Dissection Presenting As Acute Renal Failure |
| title_sort | fatal case of type a aortic dissection presenting as acute renal failure |
| topic | Aortic dissection computed tomography renal failure |
| url | http://www.scopemed.org/fulltextpdf.php?mno=23194 |
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