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Tiemtoré-Kambou BMA, Koama A, Kontogom S, Zabsonré/Tiendrébéogo J, Bayala D, Ndé/Ouédraogo NA, Zanga M, Napon AM, Diallo O, Lougue-Sorgho C, Cissé R. Aortic dissection—Pulmonary embolism association: A therapeutic dilemma. Radiol Case Rep 2022; 17:2779-2783. [PMID: 35677707 PMCID: PMC9167868 DOI: 10.1016/j.radcr.2022.04.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 04/21/2022] [Accepted: 04/24/2022] [Indexed: 11/30/2022] Open
Abstract
Aortic dissection is a rare but serious condition. Its association with pulmonary embolism is exceptional and produces a real therapeutic dilemma. We are discussing the case of a 67-year-old male patient who presented with paraplegia with infectious syndrome. The chest X-ray performed to screen for an infectious site led to the suspicion of an aortic aneurysm and the CT angiography showed Stanford type B aortic dissection associated with bilateral proximal pulmonary embolism. The treatment was symptomatic and resulted in the patient's death 48 hours after diagnosis. Management of this pathological association is not standardized between establishing anticoagulant therapy and therapeutic abstention. This management depends on the teams and has a very cautious prognosis.
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Affiliation(s)
- Bénilde Marie-Ange Tiemtoré-Kambou
- Department of Medical Imaging and Interventional Radiology, Bogodogo CHU (Centre hosptialier universitaire [University Hospital]), Ouagadougou Burkina Faso
- Joseph Ki Zerbo University of Ouagadougou, Ouagadougou Burkina Faso
- Corresponding author: 11 BP 1652 Ouagadougou CMS 11 Burkina Faso. Tel.: 0022670118763.
| | - Adjirata Koama
- Department of Medical Imaging and Interventional Radiology, Bogodogo CHU (Centre hosptialier universitaire [University Hospital]), Ouagadougou Burkina Faso
| | | | - Joelle Zabsonré/Tiendrébéogo
- Rheumatology Department, Ouagadougou Burkina Faso
- Joseph Ki Zerbo University of Ouagadougou, Ouagadougou Burkina Faso
| | - Donald Bayala
- Department of Medical Imaging and Interventional Radiology, Bogodogo CHU (Centre hosptialier universitaire [University Hospital]), Ouagadougou Burkina Faso
| | - Nina Astrid Ndé/Ouédraogo
- Department of Medical Imaging and Interventional Radiology, Bogodogo CHU (Centre hosptialier universitaire [University Hospital]), Ouagadougou Burkina Faso
- Joseph Ki Zerbo University of Ouagadougou, Ouagadougou Burkina Faso
| | - Moussa Zanga
- Radiology Department, Charles de Gaulle CHU, Ouagadougou Burkina Faso
- Joseph Ki Zerbo University of Ouagadougou, Ouagadougou Burkina Faso
| | - Aischa Madina Napon
- Radiology Department, Charles de Gaulle CHU, Ouagadougou Burkina Faso
- Joseph Ki Zerbo University of Ouagadougou, Ouagadougou Burkina Faso
| | - Ousséini Diallo
- Radiology Department, Yalgado Ouédraogo CHU, Ouagadougou Burkina Faso
- Joseph Ki Zerbo University of Ouagadougou, Ouagadougou Burkina Faso
| | - Claudine Lougue-Sorgho
- Radiology Department, Charles de Gaulle CHU, Ouagadougou Burkina Faso
- Joseph Ki Zerbo University of Ouagadougou, Ouagadougou Burkina Faso
| | - Rabiou Cissé
- Radiology Department, Yalgado Ouédraogo CHU, Ouagadougou Burkina Faso
- Joseph Ki Zerbo University of Ouagadougou, Ouagadougou Burkina Faso
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