Chest pain in a patient with thoracic aorta dissection

Česká verzia

Authors: S. Demeterová; P. Weber; Š. Bohatá; R. Šreflová; P. Trčka
Published in the journal: Geriatrie a Gerontologie 2015, 4, č. 2: 103-107
Category: Case Reports

Summary

Chest pain is a fairly common symptom of internal medicine. It has a wide range of possible causes from absolutely trivial to life threatening. One of the less frequent, but clinically severe reasons of chest pain is the dissection of the thoracic aorta. The authors describe the clinical course of this disease, including the diagnosis and therapy until the surgical solution with prosthesis for the specific patient and more broadly discuss this issue in general. The team of authors wants to draw attention to the continued need to consider this serious diagnosis, which should be taken into account whenever a sudden chest pain appears and to the rather poor symptomatology of the disease in the elderly. Alongside the need for a proper and adequate diagnosis in the elderly, it draws attention not only to the risk of dissection of the ascending aorta, but also points out to the possibilities of a successful solution.

Keywords:
chest pain – differential diagnosis – thoracic aorta dissection – late elderly

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