Article citationsMore >>

L. F. Hiratzka, G. L. Bakris, J. A. Beckman, R. M. Bersin, V. F. Carr, D. E. Casey, Jr., et al., “2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with Thoracic Aortic Disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine,” Circulation, vol. 121, pp. e266-369, Apr 6 2010.

Article

Aortic Dissection with Hemopericardium and Thrombosed Left Common Iliac Artery Presenting as Acute Limb Ischemia: A Case Report and Review

Vinod Namana^1,, Ram Balasubramanian¹, Pramod Theetha Kariyanna², Rajeswer Sarasam¹, Sruthi Namana¹, Vijay Shetty¹

¹Department of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA

²Department of Internal Medicine, Downstate Medical center, Brooklyn, NY, USA

American Journal of Medical Case Reports. 2015, Vol. 3 No. 10, 338-343
DOI: 10.12691/ajmcr-3-10-9
Copyright © 2015 Science and Education Publishing

Cite this paper:
Vinod Namana, Ram Balasubramanian, Pramod Theetha Kariyanna, Rajeswer Sarasam, Sruthi Namana, Vijay Shetty. Aortic Dissection with Hemopericardium and Thrombosed Left Common Iliac Artery Presenting as Acute Limb Ischemia: A Case Report and Review. American Journal of Medical Case Reports. 2015; 3(10):338-343. doi: 10.12691/ajmcr-3-10-9.

Correspondence to: Vinod  Namana, Department of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA. Email: vnamana@gmail.com

Abstract

Aim: An aortic dissection is an uncommon serious condition, which usually presents with chest pain or upper back pain. Symptoms of aortic dissection may mimic those of other diseases, often leading to delay in diagnosis. Methods: We report an unusual case of aortic dissection with hemopericardium and thrombosed left common iliac artery presenting as acute limb ischemia. Conclusion: Maintaining a high index of clinical suspicion for aortic pathology could possibly lead to identification and timely management of a greater number of patients who have atypical presentations. This would be especially true for patients who have catastrophic presentations with unexplained symptoms.

Keywords

aortic dissection, type a dissection, type b dissection, hemopericardium, cardiogenic shock, limb ischemia, arterial thrombosis