Two Cases of an Unusual Childhood Aortic Dissection Resulting in Death

Pediatric aortic dissection is an emergency condition that is difficult to diagnose and is associated with high morbidity and mortality. To draw attention to this issue, we present two male cases diagnosed with aortic dissection because of an autopsy. A 16-year-old man with severe new-onset chest pa...

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Main Authors: Mustafa Karakus, Arda Akay, Kamil Sahin, Cagla Ergin, Bora Ozdemir, Fehmi Mercanoglu, Murat Elevli
Format: Article
Language:English
Published: Galenos Yayinevi 2023-09-01
Series:Haseki Tıp Bülteni
Subjects:
Online Access: http://www.hasekidergisi.com/archives/archive-detail/article-preview/two-cases-of-an-unusual-childhood-aortic-dissectio/62236
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author Mustafa Karakus
Arda Akay
Kamil Sahin
Cagla Ergin
Bora Ozdemir
Fehmi Mercanoglu
Murat Elevli
author_facet Mustafa Karakus
Arda Akay
Kamil Sahin
Cagla Ergin
Bora Ozdemir
Fehmi Mercanoglu
Murat Elevli
author_sort Mustafa Karakus
collection DOAJ
description Pediatric aortic dissection is an emergency condition that is difficult to diagnose and is associated with high morbidity and mortality. To draw attention to this issue, we present two male cases diagnosed with aortic dissection because of an autopsy. A 16-year-old man with severe new-onset chest pain had an unremarkable physical examination, electrocardiography, and laboratory values. Aortic dissection was not detected on non-contrast computed tomography or echocardiography. Type A aortic dissection was discovered during the patient's autopsy. In the second case, a 10-year-old male patient complained of fever, vomiting, and abdominal pain. The physical examination and biochemical tests were unremarkable. Type B aortic dissection was discovered during the autopsy. Genetic and congenital causes predisposing to aortic dissection and hypertension or a history of trauma were not detected in either patient. Aortic dissection, which is very rare in children, should be considered in cases of persistent chest pain, and rapid diagnosis with contrast-enhanced tomography is vital.
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spelling doaj.art-f5d9e72488af42a2bf5de62371e53aa82023-09-27T13:15:54ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882023-09-0161430831110.4274/haseki.galenos.2023.940413049054Two Cases of an Unusual Childhood Aortic Dissection Resulting in DeathMustafa Karakus0Arda Akay1Kamil Sahin2Cagla Ergin3Bora Ozdemir4Fehmi Mercanoglu5Murat Elevli6 Ministry of Justice, Council of Forensic Medicine, İstanbul, Turkey Ministry of Justice, Council of Forensic Medicine, İstanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Department of Pediatrics, Istanbul, Turkey Ministry of Justice, Council of Forensic Medicine, İstanbul, Turkey Ministry of Justice, Council of Forensic Medicine, İstanbul, Turkey Ministry of Justice, Council of Forensic Medicine, İstanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Department of Pediatrics, Istanbul, Turkey Pediatric aortic dissection is an emergency condition that is difficult to diagnose and is associated with high morbidity and mortality. To draw attention to this issue, we present two male cases diagnosed with aortic dissection because of an autopsy. A 16-year-old man with severe new-onset chest pain had an unremarkable physical examination, electrocardiography, and laboratory values. Aortic dissection was not detected on non-contrast computed tomography or echocardiography. Type A aortic dissection was discovered during the patient's autopsy. In the second case, a 10-year-old male patient complained of fever, vomiting, and abdominal pain. The physical examination and biochemical tests were unremarkable. Type B aortic dissection was discovered during the autopsy. Genetic and congenital causes predisposing to aortic dissection and hypertension or a history of trauma were not detected in either patient. Aortic dissection, which is very rare in children, should be considered in cases of persistent chest pain, and rapid diagnosis with contrast-enhanced tomography is vital. http://www.hasekidergisi.com/archives/archive-detail/article-preview/two-cases-of-an-unusual-childhood-aortic-dissectio/62236 aortic dissectionautopsychest painchild
spellingShingle Mustafa Karakus
Arda Akay
Kamil Sahin
Cagla Ergin
Bora Ozdemir
Fehmi Mercanoglu
Murat Elevli
Two Cases of an Unusual Childhood Aortic Dissection Resulting in Death
Haseki Tıp Bülteni
aortic dissection
autopsy
chest pain
child
title Two Cases of an Unusual Childhood Aortic Dissection Resulting in Death
title_full Two Cases of an Unusual Childhood Aortic Dissection Resulting in Death
title_fullStr Two Cases of an Unusual Childhood Aortic Dissection Resulting in Death
title_full_unstemmed Two Cases of an Unusual Childhood Aortic Dissection Resulting in Death
title_short Two Cases of an Unusual Childhood Aortic Dissection Resulting in Death
title_sort two cases of an unusual childhood aortic dissection resulting in death
topic aortic dissection
autopsy
chest pain
child
url http://www.hasekidergisi.com/archives/archive-detail/article-preview/two-cases-of-an-unusual-childhood-aortic-dissectio/62236
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