Aortic dissection and rupture in an 11-year-old child: A case report

Abstract

We present the case of an 11-year-old boy who developed sudden severe chest pain. When he was referred to the emergency department with this chest pain and palpitation, he could not even stand up. The sudden onset of chest pain was first complained about while he was swimming at school about 30 min previously. His arterial blood pressure was 150/90 mm Hg, heart rate was 120/min, and the chest pain was combined with shortness of breath and diaphoresis. During the evaluation in the emergency room, he complained of much severer chest pain and newly developed abdominal pain. We suspected aortic dissection and took computed tomography (CT) images of his chest and abdomen. The diagnosis of aortic dissection type B was established with the help of CT imaging. The patient went to surgery immediately with blood pressure control. He was lost before the operation because of aortic rupture.We report one rare case of aortic dissection type B with rupture in an eleven-year-old child in Korea.

“Undiagnosed aortic coarctation with 2 simultaneous acute aortic syndromes: Intramural hematoma and mycotic aneurysm”

“…Acute aortic syndrome is rare amongst the general pediatric population, with the exception of those with known congenital heart disease, connective tissues disorders, and/or trauma [ 1 , 2 ]. Similar to adults, early diagnosis and intervention is imperative to reduce the risk of patient mortality, which at baseline (onset of symptoms) can be 0.035% in those under 19-years-old and increase by 1-2% per hour after the onset of symptoms if left untreated [2] .…”

“…Acute aortic syndrome is rare amongst the general pediatric population, with the exception of those with known congenital heart disease, connective tissues disorders, and/or trauma [ 1 , 2 ]. Similar to adults, early diagnosis and intervention is imperative to reduce the risk of patient mortality, which at baseline (onset of symptoms) can be 0.035% in those under 19-years-old and increase by 1-2% per hour after the onset of symptoms if left untreated [2] . Herein we present a case of a 5-year-old patient that was found to have acute and congenital aortic abnormalities after presenting to the emergency department with lower extremity pain: aortic coarctation, mycotic aortic aneurysm, and intramural hematoma.…”

Retraction: Aortic Dissection and Rupture in a Child

“…This case report was submitted in advance to Journal of Cardiology Cases 2) as a case report, which should have been addressed for the publication in KCJ as duplication.…”