| Mega aorta syndrome: a case of thoracic and abdominal aortic aneurysm. | |
| | |
MedLine Citation:
|
PMID: 20637399 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
An 83-year-old woman presented to the emergency department (ED) via emergency medical services with the chief complaint of "strokelike symptoms." Physical examination revealed altered mental status, tachycardia, hypotension, and a large nonpulsatile periumbilical mass. Bedside ultrasound revealed a 9-cm abdominal aortic aneurysm with absent central flow. Computed tomography scan demonstrated diffuse thoracic and abdominal aortic dilation with rupture into the mediastinum along with left hemothorax. Repeat beside ultrasound demonstrated abdominal aortic aneurysm rupture not seen on the computed tomography scan. Despite aggressive resuscitation, the patient developed bradycardia, which devolved into pulseless electric activity cardiac arrest. She was unable to be resuscitated. The patient's diffuse aneurysmal dilation places her into the small category of patients with a disease entity known as mega aorta syndrome (MAS). Mega aorta syndrome is defined as aneurysmal dilation of the aorta to greater than 6 cm in diameter. Although not in our case, most cases of MAS are symptomatic before catastrophic presentation. The disease progression for these patients is slow and occurs over years. When this disease is recognized early, a surgery known as the elephant trunk procedure can be performed. This operation replaces the entire aorta in multiple stages. This gives the emergency physician a critical role in the diagnosis and outcome of these patients because they may come through the ED for an unrelated complaint early in the disease process. This case report illustrates an advanced case of MAS. |
| | |
Authors:
|
William C Wu; Christopher A Mitchell; Derek Linklater |
Related Documents
:
|
15912349 - Tight hamstring syndrome and extra- or intraspinal diseases in childhood: a multicenter... 21647039 - Acute aortic syndrome: surgical, endovascular or medical treatment. 8165039 - The "horseshoe" lung: six new cases. 1365049 - Oral syndrome: an incomplete form of cheiro-oral syndrome? 19698549 - An epidemiological study on eating disorders in two high schools in naples. 20303099 - Development, validation and testing of an epidemiological case definition of interstiti... 18349289 - Gilbert's syndrome and irinotecan toxicity: combination with udp-glucuronosyltransferas... 22054059 - Gilles de la tourette's syndrome in a patient with 47(xxx) syndrome: a case report. 15062519 - The evaluation and management of patients with neuroleptic malignant syndrome. |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2010-03-25 |
Journal Detail:
|
Title: The American journal of emergency medicine Volume: 28 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-07-19 Completed Date: 2010-08-12 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
|
Languages: eng Pagination: 747.e1-3 Citation Subset: IM |
Affiliation:
|
Department of Emergency Medicine, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged, 80 and over Aortic Aneurysm, Abdominal / complications*, diagnosis*, therapy Aortic Aneurysm, Thoracic / complications*, diagnosis*, therapy Female Humans Syndrome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Tight control of effectiveness of cardiac massage with invasive blood pressure monitoring during car...
Next Document: Benign persistent T-wave inversion mimicking ischemia after left bundle-branch block-cardiac memory.