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Abstract

ABSTRACT
Acute aortic dissection is the most frequent and lethal presentation of acute aortic syndromes with an incidence of 3-4 cases per 100.000 per year. In general, 20% of patients with aortic dissection die before reaching the hospital and 30% die during hospital admissions. We present two cases of acute aortic dissection we received in sequence over a period of one month: A case of Standford type A aortic dissection with extension to renal and iliac arteries initially misdiagnosed as acute myocardial infarction and a case of standford type B aortic dissection. A clinician may not attend to a case of aortic dissection in all his practice. High index of suspicion and initiation of appropriate registries are potential avenues to curb mortality.


RÉSUMÉ
La dissection aortique aiguë est la présentation la plus fréquente et la plus mortelle des syndromes aortiques aigus avec une incidence de 3-4 cas par 100.000 par an. En général, 20% des patients atteints de dissection aortique meurent avant d'atteindre l'hôpital et 30% meurent au cours des hospitalisations. Nous présentons deux cas de dissection aortique aiguë que nous avons reçus en séquence pendant un mois : un cas de dissection aortique de type A de Standford avec extension aux artères rénales et iliaques initialement mal diagnostiquée comme un infarctus aigu du myocarde et un cas de dissection aortique de type B. Un clinicien ne peut pas assister à un cas de dissection aortique dans toute sa pratique. Un indice élevé de suspicion et l'instauration de registres appropriés sont des moyens potentiels de limiter la mortalité.

Keywords

Aortic dissection standford hypertension mortality outcome

Article Details

How to Cite
Nkemtendong Tolefac, P., Hentchoya, R., Ze Minkande, J., Beyiha, G., Mouliom, S., & Badjang, T. (2017). Acute Aortic Dissection at the Douala General Hospital: A Report of Two Cases. HEALTH SCIENCES AND DISEASE, 18(2). https://doi.org/10.5281/hsd.v18i2.792

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