Clinical practice and cases in emergency medicine · 2024
Painless Aortic Syndrome in a Patient with Syncope and Globus Sensation: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Rosenfeld-Barnhard Gavriel, Jackson Jessica R, Mendez Kendra A, Schreyer Kraftin E
Аннотация
INTRODUCTION: Aortic dissection is a devastating clinical entity with a variety of presentations and requires prompt recognition and management. To our knowledge this is the first reported case of a patient who presented with a globus sensation and was diagnosed with an aortic dissection prior to clinical deterioration.
CASE REPORT: The patient presented with an episode of near-syncope and globus sensation. Imaging studies revealed a type A aortic dissection with hemopericardium requiring emergent operative intervention. Unfortunately, the patient's course was complicated by significant hemorrhage and periods of hypotension, and the family ultimately decided to pursue comfort care.
CONCLUSION: Aortic dissections can present with diverse and elusive symptoms, which can mimic other more common conditions, potentially leading to misdiagnosis and delayed intervention.
CASE REPORT: The patient presented with an episode of near-syncope and globus sensation. Imaging studies revealed a type A aortic dissection with hemopericardium requiring emergent operative intervention. Unfortunately, the patient's course was complicated by significant hemorrhage and periods of hypotension, and the family ultimately decided to pursue comfort care.
CONCLUSION: Aortic dissections can present with diverse and elusive symptoms, which can mimic other more common conditions, potentially leading to misdiagnosis and delayed intervention.