Key result
Conservative management was discussed for a patient presenting with recurring episodes of vomiting due to chronic aortic dissection and an underlying aortic aneurysm.
Case Report (n=1)
This case report highlights an atypical presentation of chronic aortic dissection with recurring vomiting and discusses conservative management options.
Conservative management may merit discussion for atypical vomiting in chronic aortic dissection; leaves open need for prospective data.
Aortic dissection is one of the most common aortic emergencies affecting around 2000 Americans each year. It usually presents in the acute state but in a small percentage of patients aortic dissections go unnoticed and these patients survive without any adequate therapy. With recent advances in medical care and diagnostic technologies, aortic dissection can be successfully managed through surgical or medical options, consequently increasing the related survival rate. However, little is known about the optimal long-term management of patients suffering from chronic aortic dissection. The purpose of the present report is to review aortic dissection, namely its pathology and the current diagnostic tools available, and to discuss the management options for chronic aortic dissection. We report a patient in which chronic aortic dissection presented with recurring episodes of vomiting and also discuss the management plan of our patient who had a chronic aortic dissection as well as an underlying aortic aneurysm.
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Beebeejaun et al. (2013) conducted a case report in Chronic aortic dissection with underlying aortic aneurysm (n=1). Conservative management was evaluated. Conservative management was discussed for a patient presenting with recurring episodes of vomiting due to chronic aortic dissection and an underlying aortic aneurysm.
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