Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
INTRODUCTION. Aortic dissection is an infrequent pathology; when it occurs, it does so in a catastrophic manner manifested by intense thoracic or lumbar pain accompanied by acute hemodynamic compromise. Early diagnosis and treatment are usually crucial to avoid the patient’s death; likewise, aortic dissection can be secondary to thoracic trauma due to deceleration and occurs in 1.5% to 2%, which mainly induces a localized tear in the region of the aortic isthmus. CLINICAL CASE. 35-year-old male patient, with a history of motor vehicle accident that caused a moderate head injury, right parietal epidural hematoma, with surgical resolution 18 months ago, chest injuries were ruled out with normal chest X-ray, and FAST ultrasound was performed in perihepatic, suprapubic, perisplenic and subxiphoid window without finding any alteration. She went to the emergency department for a picture of right hemiparesis and dysarthria of 4 hours of evolution, a cranial tomography was performed without finding any lesion, being classified as an ischemic cerebrovascular event with neurological recovery. During his hospital stay he presented with dyspnea of great effort and after performing complementary control tests, a cardiomegaly was found, so he is referred to a cardiology clinic where an echocardiogram is performed, which showed dissection of the ascending aorta plus aneurysm, admission is decided and treatment is instituted through supportive measures, with referral to a specialty hospital for cardiothoracic surgery. CONCLUSIONS. Aortic dissection secondary to trauma is rare, however, the diagnosis should always be present in case of trauma due to deceleration, as it is vital for the survival of the patient and its timely treatment.
Tchana-Sato V, Sakalihasan N, Defraigne JO. [Aortic dissection]. Rev Med Liege. 2018 May;73(5–6):290–5. Available from:
https://pubmed.ncbi.nlm.nih.gov/29926568/
Zhu X, Han X, Cui C, Sheng X, Zhang D, Hou C, et al. Radiofrequency perforation and balloon valvuloplasty in infants with pulmonary atresia and intact ventricular septum. Zhonghua Er Ke Za Zhi Chin J Pediatr. 2007 Mar;45(3):194–8. Available from:
https://pubmed.ncbi.nlm.nih.gov/17504623/
Baliga RR, Nienaber CA, Bossone E, Oh JK, Isselbacher EM, Sechtem U, et al. The role of imaging in aortic dissection and related syndromes. JACC Cardiovasc Imaging. 2014 Apr;7(4):406–24. Available from: https://pubmed.ncbi.nlm.nih.gov/24742892/
Silaschi M, Byrne J, Wendler O. Aortic dissection: medical, interventional and surgical management. Heart Br Card Soc. 2017 Jan 1;103(1):78–87. Available from:
https://pubmed.ncbi.nlm.nih.gov/27733536/
Hughes GC. Management of acute type B aortic dissection; ADSORB trial. J Thorac Cardiovasc Surg. 2015 Feb;149(2 Suppl):S158-162. Available from:
https://pubmed.ncbi.nlm.nih.gov/25306065/
Meng X, Han J, Wang L, Wu Q. Aortic dissection during pregnancy and postpartum. J Card Surg. 2021 Jul;36(7):2510–7. Available from:
https://onlinelibrary.wiley.com/doi/10.1111/jocs.15575
Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000 Feb 16;283(7):897–903. Available from:
https://pubmed.ncbi.nlm.nih.gov/10685714/
Parve S, Ziganshin BA, Elefteriades JA. Overview of the current knowledge on etiology, natural history and treatment of aortic dissection. J Cardiovasc Surg (Torino). 2017 Apr;58(2):238–51. Available from: https://pubmed.ncbi.nlm.nih.gov/28124516/
Marroush TS, Boshara AR, Parvataneni KC, Takla R, Mesiha NA. Painless Aortic Dissection. Am J Med Sci. 2017
Nov;354(5):513–20. Available from:
https://pubmed.ncbi.nlm.nih.gov/29173364/
Zhao R, Wu JL, Qiu JT, Yu CT. Overview of multi-center registry of aortic dissection. Zhonghua Wai Ke Za Zhi. 2020 Aug 1;58(8):604–7. Available from:
https://pubmed.ncbi.nlm.nih.gov/32727191/
Buivydaite K, Semenaite V, Brazdzionyte J, Macas A. [Aortic dissection]. Med Kaunas Lith. 2008;44(3):247–55.
Available from:
https://pubmed.ncbi.nlm.nih.gov/18413993/
Mukherjee D, Eagle KA. Aortic dissection--an update. Curr Probl Cardiol. 2005 Jun;30(6):287–325. Available
from:
https://pubmed.ncbi.nlm.nih.gov/15973249/
DeSanctis RW, Doroghazi RM, Austen WG, Buckley MJ. Aortic dissection. N Engl J Med. 1987 Oct
;317(17):1060–7. Available from:
https://pubmed.ncbi.nlm.nih.gov/3309654/
Garrett BN, Ram CV. Acute aortic dissection. Cardiol Clin. 1984 May;2(2):227–38. Available from: https://pubmed.ncbi.nlm.nih.gov/6399865/
Finkelmeier BA, Marolda D. Aortic dissection. J Cardiovasc Nurs. 2001 Jul;15(4):15-24.
doi: 10.1097/00005082-200107000-00003. PMID: 11419663.
Aortic valve insufficiency in the teenager and young adult: the role of prosthetic valve replacement - Wold J Pediatr Congenit Heart Surg. 2013 Ict 4(4): 397-402. Available from:
https://pubmed.ncbi.nlm.nih.gov/24327634/
Elsayed RS, Cohen RG, Fleischman F, Bowdish ME. Acute Type A Aortic Dissection. Cardiol Clin. 2017
Aug;35(3):331–45. Available from:
https://pubmed.ncbi.nlm.nih.gov/28683905/
Finkelmeier BA, Marolda D. Aortic dissection. J Cardiovasc Nurs. 2001 Jul;15(4):15–24. Available from:
https://pubmed.ncbi.nlm.nih.gov/11419663/
Jolobe OMP. Murmurs other than the early diastolic murmur in aortic dissection. Am J Emerg Med. 2021
Nov;49:133–6. Available from:
https://pubmed.ncbi.nlm.nih.gov/34102459/
Han J, Xiang H, Ridley WE, Ridley LJ. Aortic beak sign: Aortic dissection. J Med Imaging Radiat Oncol. 2018 Oct;62 Suppl 1:14. Available from:
https://pubmed.ncbi.nlm.nih.gov/30309182/
Dmowski AT, Carey MJ. Aortic dissection. Am J Emerg Med. 1999 Jul;17(4):372–5. Available from: https://pubmed.ncbi.nlm.nih.gov/10452437/
Finkelmeier BA, Marolda D. Aortic dissection. J Cardiovasc Nurs. 2001 Jul;15(4):15–24. Available from:
https://pubmed.ncbi.nlm.nih.gov/11419663/
Beam AS, Moore K. Familial Thoracic Aortic Dissection. Radiol Technol. 2021 May;92(5):428–34. Available from:
https://pubmed.ncbi.nlm.nih.gov/33903262/
Koechlin L, Schuerpf J, Bremerich J, Sommer G, Gahl B, Reuthebuch O, et al. Acute aortic dissection with entry
tear at the aortic arch: long-term outcome. Interact Cardiovasc Thorac Surg. 2021 Jan 1;32(1):89–96. Available from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906687/
Larson H. Aortic Dissection. Radiol Technol. 2017 Nov;89(2):193–5. Available from:
http://www.radiolo-gictechnology.org/content/89/2/193.extract
Tolis G, Sundt TM. Contemporary insights into the management of type an aortic dissection. Expert Rev Cardiovasc Ther. 2016 Oct;14(10):1189–96. Available from:
https://pubmed.ncbi.nlm.nih.gov/27454184/
Sfeir PM, Issa K, Ayoub CM. Mesenteric Malperfusion Syndromes in Type A Aortic Dissection: Current Management Strategies. J Cardiothorac Vasc Anesth. 2021 Dec;35(12):3711–9. Available from: https://pubmed.ncbi.nlm.nih.gov/34217577/
Zimmermann M, Hittinger R, Court A, Cuttone F. Type B aortic dissection and interrupted aortic arch. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 2021 Jul 30;60(2):432. Available from: https://pubmed.ncbi.nlm.nih.gov/33619547/
Setacci F, Sirignano P, de Donato G, Chisci E, Perulli A, Setacci C. Acute aortic dissection: natural history
and classification. J Cardiovasc Surg (Torino). 2010 Oct;51(5):641–6. Available from:
https://pubmed.ncbi.nlm.nih.gov/20924325/
Baumann F, Makaloski V, Diehm N. [Aortic aneurysms and aortic dissection: epidemiology, pathophysiology and diagnostics]. Internist. 2013 May;54(5):535–42. Available from:
https://pubmed.ncbi.nlm.nih.gov/23558776/
Minatoya K. The reality of the treatment for acute aortic dissection in a megacity. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg.2021 Oct 22; 60(4):965–6. Available from:
https://pubmed.ncbi.nlm.nih.gov/34077497/
Czerny M, Rylski B, Beyersdorf F. Thoracic endovascular aortic repair for uncomplicated type B aortic dissection. Curr Opin Cardiol. 2016 Nov; 31(6): 606–10. Available from:
https://pubmed.ncbi.nlm.nih.gov/27583374/
Ilyas S, Goodney PP. The Next Step in Type B Aortic Dissection. J Am Coll Surg. 2021 Jan;232(1):53–4. Available
from:
https://pubmed.ncbi.nlm.nih.gov/33308767/
Miri R, Mleyhi S, Ben Mrad M, Derbel B, Souid A, Boukriba S, et al. Endovascular repair of ruptured Type B
aortic dissection. J Med Vasc. 2021 Jul;46(4): 186–9. Available from:
https://pubmed.ncbi.nlm.nih.gov/34238514/
Ichihara Y, Azuma T, Saito S, Niinami H. Nutcracker syndrome due to chronic aortic dissection. J Card Surg. 2021 Mar;36(3):1138–9. Available from:
https://pubmed.ncbi.nlm.nih.gov/33527481/
Svensson LG, Crawford ES. Aortic dissection and aortic aneurysm surgery: clinical observations, experimental investigations, and statistical analyses. Part I. Curr Probl Surg. 1992 Nov;29(11): 817–911. Available from:
https://pubmed.ncbi.nlm.nih.gov/1464240/
Grewal S, Contrella BN, Sherk WM, Khaja MS, Williams DM. Endovascular Management of Malperfusion
Syndromes in Aortic Dissection. Tech Vasc Interv Radiol. 2021 Jun;24(2):100751. Available from:
https://pubmed.ncbi.nlm.nih.gov/34602272/
Robicsek F, Thubrikar MJ. Hemodynamic considerations regarding the mechanism and prevention of aortic dissection. Ann Thorac Surg. 1994 Oct;58(4):1247–53. Available from:
https://pubmed.ncbi.nlm.nih.gov/7944800/
Khoynezhad A, Gupta PK, Donayre CE, White RA. Current status of endovascular management of complicated
acute type B aortic dissection. Future Cardiol. 2009 Nov;5(6):581–8. Available from:
https://pubmed.ncbi.nlm.nih.gov/19886785/
Craiem D, Casciaro ME. Age-associated changes in aortic geometry in patients with type B aortic dissection.
Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 2021 Jul 14;60(1):203–4. Available from:
https://ri.conicet.gov.ar/handle/11336/181610
Tajdini M, Bayati M, Vasheghani-Farahani A. Aortic dissection and cystinosis: is there any relationship? Cardiol
Young. 2017 Sep;27(7):1434–6. Available from:
https://pubmed.ncbi.nlm.nih.gov/28490397/
Mohamed SA, Misfeld M, Richardt D, Sievers HH. Identification of candidate biomarkers of acute aortic dissection. Recent Pat DNA Gene Seq. 2008; 2(1):61–5. Available from:
https://pubmed.ncbi.nlm.nih.gov/19075946/
Hanson J. Aortic dissection. Aust Fam Physician. 2002 May;31(5):459–60. Available from:
https://pubmed.ncbi.nlm.nih.gov/12043552/
Erbel R, Zamorano J. The aorta. Aortic aneurysm, trauma, and dissection. Crit Care Clin. 1996 Jul;12(3):733–
Available from:
https://pubmed.ncbi.nlm.nih.gov/8839603/
Aalam A, Lafleur J. Aortic dissection in a 19 year old male without risk factors. Am J Emerg Med. 2020
Feb;38(2):410.e1-410.e3. Available from:
https://pubmed.ncbi.nlm.nih.gov/31836343/
Yang B. Replu from the autor: Respect mother nature-aortic root repari in acute type a aortic dissection. J
Thorac Cardiovasc Surg. 2021 Feb;161(2):e155–7. Available from:
https://pubmed.ncbi.nlm.nih.gov/33229174/
Oakley CM. Aortic dissection. Q J Med. 1991 May;79(289):379–80. Available from:
https://watermark.silverchair.com/79-2-379.pdf?token=AQECAHi208BE49Ooan9kkhW_
Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA2IwggNeBgkqhkiG9w0BBwagggNPMIIDSwIBADCCA0QGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMkBBei8NvDI8iENv-TAgEQgIIDFWXi4AuguHN2HcIUV74Ww5PpcOSJ9-
zPLkotH26YY4iI3YuE8zArvwlP5xKx-1oeJdZ-7GvDIzaZbGKbh62nv9nrUR_Ymb6RTInm5Hk7Ywg8Utp3mZufEBc2My7r3zTiw4vxvVQXMa2PUw-
DTgF5tMlibxZYjxxRjAcMWThkk3C1SvR_Md_2AV33ZEgkNnlcTLZTzED6Q_
AyXA28QowofSkvHb6mr58aYOy0P4jumi7suZtAlVOybaoSWg6nLCjRGADjTD0XFYTPzON29fYxvN7RZaVKq-
jCg5b-mHaxjjba1wTU90W87qKqFN9Jd4HxLKbvT-0lUYjVYY9u4hNbO_WkEV7ExtW-Vo8Zaq21jTfYZJQmZJ9TT7Uiec9j4rZy7_vDo-KXY0-8D4goJMy7vbFGY9gFgiQ4RZfIQNvhhBxVmWO_
fu_NhQRCIq-BRo18zeeR2EwvcBEU86dIWHzcyaBxpqr_Ql8yromHWco3zcBnyyoy0b0behVTxkwwYaWX7XN7K-
PICtnS-6N7N1pgOui4LBbC3aAtSFfNwbzjxVe7N9efVwLPVvlTcl8-
gX99r9REa0BU_tb2jH9_ImLCO0pgMQBLoXShLcTzHi1pLZjcVsbt0sVm_Qt12edjldTBSjt_
K_t-TGo9xr-WeFmikgFhrR1_Z0fRkLpqJdF1ZLE1pkI0rsijn9BmdlmSevEmvLiUpYUAa0CbRGzgD_
uIP-9mW_6DnS35FF33USxYK6AvbSsa8TEw06_8APh1rbAXD922i1yZKnzwWAOQGd_
WTSuimPrOYTNiMhV2co47VVIbYwpfP0qxUrGxpeJecHgnGDtNoqfTzRPzX2UZJz-
rRW0T3oNKoYZVjSUKXH9RpitX6ur-8T7XEEa-VBXeYSNXhhvkyg1wp7OSkQ-XfGVAa_
icROcZdBenm74Vn5X8izwiYurIq91WcZucPaRu1fXy8b-PdIJIV90OXXoi0zq-OUzoHLtPNE7Guew2KKHMlgLZ35DTB0jY7dqdEeR941H1PeT6T_vAm4MQO5d0Xlg-
MWhskAAnwLXjXYgxQ
Zhang D, Lin Y, Liu Y, Zhang X, Jiang C. Clinical analysis of aortic dissection with sudden coma and paraplegia
as the main symptoms. J Int Med Res. 2020 Mar;48(3):300060519895843. Available from:
https://pubmed.ncbi.nlm.nih.gov/32216512/
Wada T, Ohuchi S, Oyama S, Takagi D, Igarashi W, Yamamoto H. Ruptured type A aortic dissection with
saddle pulmonary embolism-like appearance on computed tomography angiography. J Card Surg. 2021
Sep;36(9):3376–7. Available from:
The authors who publish in this journal accept the following conditions:
1. The authors retain the copyright and grant to the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM the right of the first publication, with the work registered with the Creative Commons attribution license, which allows third parties to use the published material provided that they mention the authorship of the work and the first publication in this journal.
2. Authors can make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in this journal (for example, include it in an institutional repository or publish it in a book) as long as it clearly indicates that the work was published. for the first time in the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM.
