Тhe diversity of the clinical picture of acute aortic dissection. Clinical case

Abstract

Acute dissection of aortic refers to cardiovascular catastrophes accompanied by a high level of fatal complications and deaths. In the vast majority of cases, middle-aged and elderly men with a burdened history of arterial hypertension and atherosclerosis suffer from this ailment. However, in addition to these diseases, this pathology can occur with rheumatism, inflammatory vascular diseases and connective tissue diseases. The polysymptomicity of the disease provides a high probability of meeting with this pathology of doctors of any specialization. Focusing on the clinical manifestations of the disease, taking into account laboratory (activation of prothrombotic and fibrinolytic mechanisms of the hemostasis system) and instrumental data will direct to timely recognition of pathology and diagnosis, which will determine the tactics of management and prognosis of the patient’s life. The disease in question is an absolute indication for surgical treatment, therefore conservative therapy will be aimed only at stabilizing hemodynamic parameters and preparing for surgical treatment of the patient. A clinical case of dissection of an aortic aneurysm, which occurred under the masks of acute coronary syndrome and acute abdomen, is presented. This case demonstrates the importance of assessing clinical symptoms and the dynamics of their development in the diagnosis of acute aortic dissection for doctors of both therapeutic and surgical profiles.