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Life-Threatening Aortic Dissection with Cardiac Tamponade in a Healthy 15-Year-Old Male

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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.

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References

  1. Bickerstaff LK, Pairolero PC, Hollier LH, et al. (1982) Thoracic aortic aneurysms: a population-based study. Surgery 92:1103–1108

    PubMed  CAS  Google Scholar 

  2. 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

    Article  PubMed  CAS  Google Scholar 

  3. Fikar CR, Koch S (2000) Etiologic factors of acute aortic dissection in children and young adults. Clin Pediatr (Phila delphia) 39:71–80

    CAS  Google Scholar 

  4. 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

    Article  CAS  Google Scholar 

  5. Hogan CJ (2005) An aortic dissection in a young weightlifter with non-Marfan fibrillinopathy. Emerg Med J 22:304–305

    Article  CAS  Google Scholar 

  6. Khan IA, Nair CK (2002) Clinical, diagnostic, and management perspectives of aortic dissection. Chest 122:311–328

    Article  PubMed  Google Scholar 

  7. 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

    Google Scholar 

  8. Stilts DB, Gupta SC (2004) Rapid assessment and treatment of aortic dissection. Emerg Med 36:18–43

    Google Scholar 

  9. Swalwell CI, Davis GG (1999) Met amphetamine as a risk factor for acute aortic dissection, J Forensic Sci 44:23–26

    PubMed  CAS  Google Scholar 

  10. Von Kodolitsch Y, Schwartz AG, Nienaber CA (2000) Clinical prediction of aortic dissection. Arch Intern Med 160:2977–2982

    Article  Google Scholar 

  11. 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

    PubMed  Google Scholar 

Download references

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.

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Correspondence to K. Thattakkat.

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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

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  • DOI: https://doi.org/10.1007/s00246-006-1354-8

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