Open AccessAortic Dissection and Hemodialysis: A Case Report
Author(s) -
Tong YanQing,
Wang Qian,
Hou ZhaoHui
Publication year - 2007
Publication title -
dialysis & transplantation
Language(s) - English
Resource type - Journals
eISSN - 1932-6920
pISSN - 0090-2934
DOI - 10.1002/dat.20154
Subject(s) - medicine , hemodialysis , aortic dissection , epigastric pain , surgery , dissection (medical) , chest pain , descending aorta , ascending aorta , radiology , aorta , vomiting
A 48‐year‐old Asian man experienced chest pain during hemodialysis. He subsequently presented with sudden onset of epigastric and back pain. An intimal tear of the ascending and descending aorta was noted by transthoracic ultrasound. Aortic dissection was subsequently confirmed by a contrast‐enhanced computed tomography scan. Twelve hours after the onset of symptoms and before the patient was removed to the operating center, his clinical condition deteriorated rapidly, and he was declared dead. The case indicated that keeping a high clinical index of suspicion of aortic dissection in hemodialysis patients is crucial.