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 and Vijay Shetty¹

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

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

Cite this paper

Vinod Namana, Ram Balasubramanian, Pramod Theetha Kariyanna, Rajeswer Sarasam, Sruthi Namana and 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

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

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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