Abstract
We present a case of aortic dissection with shock due to cardiac tamponade in a previously healthy 15-year-old male. The diagnosis was suspected and confirmed by transthoracic echocardiography before transfer to the cardiothoracic unit for successful surgical intervention. Because it is a rare life-threatening condition with a high mortality rate in the pediatric population, a very high index of suspicion is required to reach the clinical diagnosis in a timely manner and institute appropriate surgical management.
Similar content being viewed by others
References
Bickerstaff LK, Pairolero PC, Hollier LH, et al. (1982) Thoracic aortic aneurysms: a population-based study. Surgery 92:1103–1108
Eisenberg MJ, Rice SA, Paraschos A, et al. (1993) The clinical spectrum of patients with aneurysms of the ascending aorta. Am Heart J 125:1380–1385
Fikar CR, Koch S (2000) Etiologic factors of acute aortic dissection in children and young adults. Clin Pediatr (Phila delphia) 39:71–80
Hagan PG, Nienaber CA, Isselbacher EM, et al. (2000) The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. J Am Med Assoc 283:897–903
Hogan CJ (2005) An aortic dissection in a young weightlifter with non-Marfan fibrillinopathy. Emerg Med J 22:304–305
Khan IA, Nair CK (2002) Clinical, diagnostic, and management perspectives of aortic dissection. Chest 122:311–328
Spittell PC, Spittell JA Jr, Joyce JW, et al. (1993) Clinical features and differential diagnosis of aortic dissection: experience with 236 cases (1980 through 1990). Mayo Clinic Proc 68:642–651
Stilts DB, Gupta SC (2004) Rapid assessment and treatment of aortic dissection. Emerg Med 36:18–43
Swalwell CI, Davis GG (1999) Met amphetamine as a risk factor for acute aortic dissection, J Forensic Sci 44:23–26
Von Kodolitsch Y, Schwartz AG, Nienaber CA (2000) Clinical prediction of aortic dissection. Arch Intern Med 160:2977–2982
Zalzstein E, Hamilton R, Zucker N, Diamant S, Webb G (2003) Aortic dissection in children and young adults: diagnosis, patients at risk, and outcomes. Cardiol Young 13:341–344
Acknowledgments
We acknowledge the services and support of Mr. Neil and Ms. Sandra Ball, Department of Cardiology, Ormskirk Hospital, and express our gratitude to them.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Thattakkat, K., Zbaeda, M. Life-Threatening Aortic Dissection with Cardiac Tamponade in a Healthy 15-Year-Old Male. Pediatr Cardiol 27, 624–627 (2006). https://doi.org/10.1007/s00246-006-1354-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00246-006-1354-8