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Thoracic Dissecting Aneurysm And The Importance Of Genetics, Dan Kramer, Ba, Anthony Prestipino, M.D.
Thoracic Dissecting Aneurysm And The Importance Of Genetics, Dan Kramer, Ba, Anthony Prestipino, M.D.
Department of Pathology Honors Program Student Research Symposium
Patient Presentation
- 28 year old white male with a past medical history significant for untreated hypertension
- Presents with 3 day history of chest discomfort, lower extremity weakness, bowel and bladder dysfunction, near-syncopal episodes
- Absent pulse in right femoral artery, weak pulse in left femoral artery
- Echosonography showed acute Type A dissecting aortic aneurysm
- Treatment
Immediately taken to surgery for repair of aorta with a graft and replacement of the aortic valve
- Outcome
Unstable after surgery
Biventricular heart failure
Persistent bleeding into mediastinum due to DIC
Required massive transfusion of RBCs, FFP, Cryoprecipitate, and Platelets
Became anuric and acidotic
Became fluid …