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  • Acute type A aortic dissection involving the iliac and left renal arteries, misdiagnosed as myocardial infarction

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    Aminde248777-Published.pdf (1.775Mb)
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    Author(s)
    Tolefac, Paul Nkemtendong
    Dzudie, Anastase
    Mouliom, Sidick
    Aminde, Leopold
    Hentchoya, Romuald
    Abanda, Martin H
    Mvondo, Charles Mve
    Wanko, Vanina D
    Luma, Henry N
    Griffith University Author(s)
    Aminde, Leopold N.
    Year published
    2018
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    Abstract
    Acute aortic dissection is the most frequent and deadly presentation of acute aortic syndromes. Its incidence is estimated at three to four cases per 100 000 persons per year. Its clinical presentation may be misleading, with misdiagnosis ranging between 14.1 and 38% in many series. A late diagnosis or absence of early and appropriate management is associated with mortality rates as high as 50 and 80% by the third day and second week, respectively, especially in proximal lesions. We report on the case of a 53-year-old man who presented with type A aortic dissection, misdiagnosed as acute myocardial infarction, who later died ...
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    Acute aortic dissection is the most frequent and deadly presentation of acute aortic syndromes. Its incidence is estimated at three to four cases per 100 000 persons per year. Its clinical presentation may be misleading, with misdiagnosis ranging between 14.1 and 38% in many series. A late diagnosis or absence of early and appropriate management is associated with mortality rates as high as 50 and 80% by the third day and second week, respectively, especially in proximal lesions. We report on the case of a 53-year-old man who presented with type A aortic dissection, misdiagnosed as acute myocardial infarction, who later died on day 12 of hospitalisation. Although a relatively rare condition, poor awareness in Africa probably accounted for the initial misdiagnosis. Thorough investigation of acute chest pain and initiation of clinical registries are potential avenues to curb related morbidity and mortality.
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    Journal Title
    Cardiovascular Journal of Africa
    Volume
    29
    Issue
    1
    DOI
    https://doi.org/10.5830/CVJA-2017-042
    Copyright Statement
    © 2018 Clinics Cardive Publishing Co.. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
    Subject
    Biomedical and clinical sciences
    Clinical sciences
    Science & Technology
    Life Sciences & Biomedicine
    Cardiac & Cardiovascular Systems
    Cardiovascular System & Cardiology
    aortic dissection
    Publication URI
    http://hdl.handle.net/10072/387473
    Collection
    • Journal articles

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