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Type B Aortic Dissection with Retrograde Intramural Hematoma and Pulmonary Embolism

2018Journal article Open access
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dc.contributor.authorHyde Congo, K
dc.contributor.authorTomás, A
dc.contributor.authorLaranjeira, A
dc.contributor.authorAfonso, D
dc.contributor.authorFragata, J
dc.date.accessioned2019-01-17T16:32:09Z
dc.date.available2019-01-17T16:32:09Z
dc.date.issued2018
dc.description.abstractWe report the case of 67-year old male patient who was admitted with a 2-week history of progressively worsening chest pain and dyspnea. Diagnostic investigation showed a type B aortic dissection with a retrograde intramural hematoma and bilateral pulmonary embolism. These simultaneous findings highly complicated patient management. Patient was started on anticoagulation therapy with partial resolution of pulmonary embolism after which surgical correction was performed. The patient was successfully submitted to a modified Frozen Elephant Trunk technique with a 3-branched customized Dacron tube and aortic arch replacement with E-Vita Open Plus. Patient post-operative period was uneventful, and he was discharged at the tenth postoperative day. The authors consider this case to be highly unusual regarding the clinical aspects, the challenging decision-making process and the complex surgical approach performed with a favorable outcome.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Port Cir Cardiotorac Vasc. 2018 Jan-Jun;25(1-2):73-76.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3160
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSociedade Portuguesa de Cirurgia Cardio-Torácica e Vascularpt_PT
dc.subjectHSM CCTpt_PT
dc.subjectAneurysm, Dissecting/complicationspt_PT
dc.subjectAneurysm, Dissecting/surgery
dc.subjectAnticoagulants/therapeutic use
dc.subjectAorta, Thoracic
dc.subjectAortic Aneurysm, Thoracic/complications
dc.subjectAortic Aneurysm, Thoracic/surgery
dc.subjectBlood Vessel Prosthesis Implantation/methods
dc.subjectChest Pain/etiology
dc.subjectClinical Decision-Making
dc.subjectDisease Progression
dc.subjectDyspnea/etiology
dc.subjectHematoma/etiology
dc.subjectHematoma/surgery
dc.subjectPulmonary Embolism/drug therapy
dc.subjectPulmonary Embolism/etiology
dc.subjectTreatment Outcome
dc.titleType B Aortic Dissection with Retrograde Intramural Hematoma and Pulmonary Embolismpt_PT
dc.title.alternativeDisseção da Aorta Tipo B com Hematoma Intramural Retrógado e Embolia Pulmonarpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage76pt_PT
oaire.citation.issue1-2pt_PT
oaire.citation.startPage73pt_PT
oaire.citation.titleRevista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascularpt_PT
oaire.citation.volume25pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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