ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Case Report
Chronic aortic dissection in the emergency department: a case report
Abstract
Chronic aortic dissection is a complex and potentially life-threatening condition characterised by separation of the aortic wall layers. It causes diagnostic difficulties especially in the emergency department (ED) setting due to its different presentations and critical need for rapid treatment. In this case report, we describe a 79-year-old man with a history of hypertension and oral anticoagulant use who presented to the ED with atypical chest pain, nausea and dyspnea. Initial complaints, medical history, clinical evaluation and imaging were suggestive of chronic aortic dissection. The patient's clinical course, diagnostic work-up in the emergency department, including computed tomography angiography (CTA), and management strategy are discussed. The diagnostic challenges and decision-making process in the emergency department are highlighted. The successful outcome in this case is to demonstrate the importance of a high index of suspicion and rapid imaging in the emergency department for patients presenting with atypical symptoms and risk factors for aortic dissection. This case report aims to highlight the critical role of emergency medicine in the early recognition and management of chronic aortic dissection. It emphasises the need for awareness and rapid action in the emergency department to improve patient outcomes in this potentially dangerous condition.

Keywords : Aortic dissection, chronic, conservative management, emergency service

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Article available in :
Volume 2, Issue 1, 2024
Page : 22-24
https://doi.org/10.51271/ICJEM-0031
Article Information
Received : 16 Ara 2023
Accepted : 09 Mar 2024
Published : 17 Mar 2024
Corresponding Author :

Melih Çamcı: Department of Emergency Medicine, Ankara Bilkent City Hospital, Ankara, Turkiye

[email protected]
Citation : Çamcı M, Gökhan Ş, Kahraman FA. Chronic aortic dissection in the emergency department: a case report. Intercont J Emerg Med. 2024;2(1):22-24.

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