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dc.contributor.authorTolefac, Paul Nkemtendong
dc.contributor.authorDzudie, Anastase
dc.contributor.authorMouliom, Sidick
dc.contributor.authorAminde, Leopold
dc.contributor.authorHentchoya, Romuald
dc.contributor.authorAbanda, Martin H
dc.contributor.authorMvondo, Charles Mve
dc.contributor.authorWanko, Vanina D
dc.contributor.authorLuma, Henry N
dc.date.accessioned2019-09-18T03:18:44Z
dc.date.available2019-09-18T03:18:44Z
dc.date.issued2018
dc.identifier.issn1995-1892
dc.identifier.doi10.5830/CVJA-2017-042
dc.identifier.urihttp://hdl.handle.net/10072/387473
dc.description.abstractAcute 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.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherClinics Cardive Publishing Co.
dc.relation.ispartofpagefromE9
dc.relation.ispartofpagetoE13
dc.relation.ispartofissue1
dc.relation.ispartofjournalCardiovascular Journal of Africa
dc.relation.ispartofvolume29
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode3202
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsCardiac & Cardiovascular Systems
dc.subject.keywordsCardiovascular System & Cardiology
dc.subject.keywordsaortic dissection
dc.titleAcute type A aortic dissection involving the iliac and left renal arteries, misdiagnosed as myocardial infarction
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationTolefac, PN; Dzudie, A; Mouliom, S; Aminde, L; Hentchoya, R; Abanda, MH; Mvondo, CM; Wanko, VD; Luma, HN, Acute type A aortic dissection involving the iliac and left renal arteries, misdiagnosed as myocardial infarction, Cardiovascular Journal of Africa, 2018, 29 (1), pp. E9-E13
dcterms.dateAccepted2017-10-02
dc.date.updated2019-09-17T04:35:33Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 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.
gro.hasfulltextFull Text
gro.griffith.authorAminde, Leopold N.


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